# NORTHWEST DENTAL CENTER, INC

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

## Provider details

- **NPI number:** 1174968507
- **Authorized official:** DR. REZA NABAIE D.D.S. (PRESIDENT)
- **Authorized official phone:** (425) 774-3710

## Contact information

- **Practice address:** 21810 76TH AVE W, 101, EDMONDS, WA 98026-7917
- **Practice address phone:** (425) 774-3710
- **Practice address fax:** (425) 774-3311
- **Mailing address:** 21810 76TH AVE W, 101, EDMONDS, WA 98026-7917
- **Mailing address phone:** (425) 774-3710
- **Mailing address fax:** (425) 774-3311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE8781 | WA | Yes |

## Other

- **Enumeration date:** 04/29/2013
- **Last updated:** 04/29/2013