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Organization
FACTORIA DENTISTRY
Active
Organization
FACTORIA DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN CHIHAB (OWNER DENTIST)
(425) 747-8778
Entity
Organization
Contact information
Practice address
4307 FACTORIA BLVD SE STE 1, BELLEVUE, WA 98006-1936
(425) 747-8788
Mailing address
4307 FACTORIA BLVD SE STE 1, BELLEVUE, WA 98006-1936
(425) 747-8788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
NULL
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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