# ABEDI ADVANCED FAMILY DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1558786145
- **Authorized official:** PARVIN ABEDI OWNER (DOCTOR)
- **Authorized official phone:** (253) 576-2411

## Contact information

- **Practice address:** 803 39TH AVE SW STE E, PUYALLUP, WA 98373-3692
- **Practice address phone:** (253) 445-1500
- **Mailing address:** 2318 SUNNYSIDE HEIGHTS DR, STEILACOOM, WA 98388-1365
- **Mailing address phone:** (253) 576-2411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00009718 | WA | Yes |

## Other

- **Enumeration date:** 02/19/2014
- **Last updated:** 02/19/2014