# EMMA ETEMADI, DDS, PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Duvall Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811264005
- **Authorized official:** DR. EMMA KATE ETEMADI DDS (OWNER)
- **Authorized official phone:** (425) 802-5806

## Contact information

- **Practice address:** 14142 MAIN ST NE, SUITE 104, DUVALL, WA 98019-9007
- **Practice address phone:** (425) 802-5806
- **Mailing address:** 14142 MAIN ST NE, SUITE 104, DUVALL, WA 98019-9007
- **Mailing address phone:** (425) 802-5806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00010166 | WA | Yes |

## Other

- **Enumeration date:** 11/16/2011
- **Last updated:** 11/16/2011