# NI SHAHI PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Health Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215691837
- **Authorized official:** GENTAI NI DDS (OWNER)
- **Authorized official phone:** (425) 749-2898

## Contact information

- **Practice address:** 20639 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8461
- **Practice address phone:** (253) 862-0194
- **Practice address fax:** (253) 862-9068
- **Mailing address:** 20639 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8461
- **Mailing address phone:** (253) 862-0194
- **Mailing address fax:** (253) 862-9068

## Taxonomy

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

## Other

- **Enumeration date:** 10/29/2021
- **Last updated:** 10/29/2021