# NORTHGATE ENDODONTICS

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

## Provider details

- **NPI number:** 1902259468
- **Authorized official:** DR. SHAHRZAD SARRAM D.D.S., M.S.D. (ENDODONTIST)
- **Authorized official phone:** (206) 367-5500

## Contact information

- **Practice address:** 11011 MERIDIAN AVE N, SUITE 309, SEATTLE, WA 98133-8967
- **Practice address phone:** (206) 367-5500
- **Practice address fax:** (206) 367-5501
- **Mailing address:** 11011 MERIDIAN AVE N, SUITE 309, SEATTLE, WA 98133-8967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 6882 | WA | Yes |

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 07/20/2016