# M ETEMADI DMD PLLC

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

## Provider details

- **NPI number:** 1568332682
- **Authorized official:** MASSIH ETEMADI DMD (DENTIST)
- **Authorized official phone:** (425) 548-4499

## Contact information

- **Practice address:** 2121 MADISON ST STE A, EVERETT, WA 98203-5375
- **Practice address phone:** (425) 353-5854
- **Mailing address:** 18713 136TH AVE NE, WOODINVILLE, WA 98072-5732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2025
- **Last updated:** 11/05/2025