# SKYKOMISH DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114830668
- **Authorized official:** MOHAMMAD N SHARIFI DMD (GENERAL DENTIST)
- **Authorized official phone:** (702) 954-9777

## Contact information

- **Practice address:** 507 E STEVENS AVE, STE A, SULTAN, WA 98294
- **Practice address phone:** (702) 954-9777
- **Mailing address:** 6816 NE 153RD PL APT D, KENMORE, WA 98028-4927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2026
- **Last updated:** 09/25/2026