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Organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Active
Organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Active
Other names
ID Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HERMES SHAHBAZIAN (CFO)
(206) 788-3618
Entity
Organization
Contact information
Practice address
720 8TH AVE S, 100, SEATTLE, WA 98104-3032
(206) 788-3700
(206) 788-3704
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007
(206) 788-3600
(206) 652-5216
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
600436519
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5023353
—
WA
Enumeration date
11/01/2006
Last updated
03/29/2021
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