Organization
MEHRAN VAREDI DDS, PLLC
Active
Other names
Northwest Dental Care Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN VAREDI D.D.S (DENTIST)
(205) 587-4669
Entity
Organization
Contact information
Practice address
14027 AMBAUM BLVD SW, UNIT A2, BURIEN, WA 98166-1207
(205) 587-4669
Mailing address
4217 64TH AVE E, FIFE, WA 98424-2337
(205) 587-4669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60473974
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649671934
PERSONAL
WA
Enumeration date
10/21/2014
Last updated
10/21/2014
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