# STATE OF WA, DEPT. OF SOCIAL AND HEALTH SVS.

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

## Provider details

- **NPI number:** 1467594465
- **Authorized official:** ASHA SINGH M.D. (SUPERINTENDENT)
- **Authorized official phone:** (206) 361-3033

## Contact information

- **Practice address:** 15230 15TH AVE NE, SHORELINE, WA 98155-7130
- **Practice address phone:** (206) 361-2990
- **Mailing address:** 3540 LAKE WASHINGTON BLVD SE, \#211, BELLEVUE, WA 98006-1105
- **Mailing address phone:** (425) 221-0228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00009387 | WA | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/22/2020