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Organization
MEHRAN VAREDI DDS, PLLC
Active
Organization
MEHRAN VAREDI DDS, PLLC
Active
Other names
Northwest Dental Care Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN VAREDI D.D.S (DENTIST)
(205) 587-4669
Entity
Organization
Contact information
Practice address
14027 AMBAUM BLVD SW, UNIT A2, BURIEN, WA 98166-1207
(205) 587-4669
Mailing address
4217 64TH AVE E, FIFE, WA 98424-2337
(205) 587-4669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60473974
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649671934
PERSONAL
WA
Enumeration date
10/21/2014
Last updated
10/21/2014
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