# FACTORIA DENTISTRY

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

## Provider details

- **NPI number:** 1134676554
- **Authorized official:** HASSAN CHIHAB (OWNER DENTIST)
- **Authorized official phone:** (425) 747-8778

## Contact information

- **Practice address:** 4307 FACTORIA BLVD SE STE 1, BELLEVUE, WA 98006-1936
- **Practice address phone:** (425) 747-8788
- **Mailing address:** 4307 FACTORIA BLVD SE STE 1, BELLEVUE, WA 98006-1936
- **Mailing address phone:** (425) 747-8788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016