# SAMRUDHI NAKHWA DDS PLLC

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

## Provider details

- **NPI number:** 1396575361
- **Authorized official:** DR. SAMRUDHI NAKHWA DDS (OWNER)
- **Authorized official phone:** (425) 503-7828

## Contact information

- **Practice address:** 12377 137TH PL NE UNIT 120, REDMOND, WA 98052-2229
- **Practice address phone:** (425) 470-3174
- **Mailing address:** 11518 NE 87TH ST UNIT B, KIRKLAND, WA 98033-5743
- **Mailing address phone:** (425) 470-3174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2024
- **Last updated:** 08/05/2024