Individual
AMIN TABATABAIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5701 NE BOTHELL WAY STE 3, KENMORE, WA 98028-9400
(425) 486-9233
(425) 487-4394
Mailing address
5701 NE BOTHELL WAY STE 3, KENMORE, WA 98028-9400
(425) 486-9233
(425) 487-4394
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010324
WA
Other
Enumeration date
12/14/2006
Last updated
01/08/2009
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