# NIMA EHSAN MD DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Redmond Implant and Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962297952
- **Authorized official:** NIMA EHSAN MD DDS (OWNER)
- **Authorized official phone:** (425) 882-9116

## Contact information

- **Practice address:** 8575 164TH AVE NE STE 300, REDMOND, WA 98052-3679
- **Practice address phone:** (425) 882-9116
- **Mailing address:** 8575 164TH AVE NE STE 300, REDMOND, WA 98052-3679
- **Mailing address phone:** (425) 882-9116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2025
- **Last updated:** 04/11/2025