Individual
MS. ELAHA BASHIZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 E VALLEY RD STE 105, RENTON, WA 98057-4954
(425) 255-5532
Mailing address
25304 117TH AVE SE, KENT, WA 98030-5640
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE61445104
WA
Other
Enumeration date
04/05/2021
Last updated
09/29/2025
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