# ICHS MOBILE DENTAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INTERNATIONAL COMMUNITY HEALTH SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235791427
- **Legal business name:** INTERNATIONAL COMMUNITY HEALTH SERVICES
- **Authorized official:** HERMES SHAHBAZIAN (CFO)
- **Authorized official phone:** (206) 788-3618

## Contact information

- **Practice address:** 720 8TH AVE S, SEATTLE, WA 98104-3032
- **Practice address phone:** (206) 445-8454
- **Mailing address:** PO BOX 3007, SEATTLE, WA 98114-3007
- **Mailing address phone:** (206) 788-3700

## Taxonomy

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

## Other

- **Enumeration date:** 07/08/2019
- **Last updated:** 03/29/2021