Organization
NI SHAHI PLLC
Active
Other names
Dental Health Group
Organization subpart
No
Provider details
NPI number
Authorized official
GENTAI NI DDS (OWNER)
(425) 749-2898
Entity
Organization
Contact information
Practice address
20639 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8461
(253) 862-0194
(253) 862-9068
Mailing address
20639 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8461
(253) 862-0194
(253) 862-9068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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