# MEHRAN VAREDI DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Dental Care Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023412871
- **Authorized official:** MEHRAN VAREDI D.D.S (DENTIST)
- **Authorized official phone:** (205) 587-4669

## Contact information

- **Practice address:** 14027 AMBAUM BLVD SW, UNIT A2, BURIEN, WA 98166-1207
- **Practice address phone:** (205) 587-4669
- **Mailing address:** 4217 64TH AVE E, FIFE, WA 98424-2337
- **Mailing address phone:** (205) 587-4669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60473974 | WA | Yes |

## Other

- **Enumeration date:** 10/21/2014
- **Last updated:** 10/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1649671934 | PERSONAL | WA |