# AHDUT BEAN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Green Leaf Dental, Green Leaf Kids
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881189322
- **Authorized official:** DR. YONATAN NIR AHDUT DDS (DENTIST/OWNER)
- **Authorized official phone:** (253) 426-5821

## Contact information

- **Practice address:** 4219 S OTHELLO ST STE 105D, SEATTLE, WA 98118-3873
- **Practice address phone:** (206) 316-2351
- **Mailing address:** 4219 S OTHELLO ST STE 105D, SEATTLE, WA 98118-3873
- **Mailing address phone:** (206) 316-2351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE60479557 | WA | Yes |

## Other

- **Enumeration date:** 06/27/2018
- **Last updated:** 06/11/2019