Individual
DR. KAM DERAKSHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1551 116TH AVE. NE, #B-1, BELLEVUE, WA 98004
(425) 373-1605
Mailing address
1551 116TH AVE NE STE B1, BELLEVUE, WA 98004-3814
(425) 373-1605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE7712
WA
Other
Enumeration date
07/25/2006
Last updated
04/15/2009
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