Individual
DIVYA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2120 S JACKSON ST, 4TH FLOOR, SEATTLE, WA 98144-2219
(206) 516-3194
Mailing address
1701 BROADWAY, BE3210, SEATTLE, WA 98122-2413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010635
WA
Other
Enumeration date
07/17/2007
Last updated
01/06/2014
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