Organization
ICHS MOBILE DENTAL
Active
Parent organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERNATIONAL COMMUNITY HEALTH SERVICES
Authorized official
HERMES SHAHBAZIAN (CFO)
(206) 788-3618
Entity
Organization
Contact information
Practice address
720 8TH AVE S, SEATTLE, WA 98104-3032
(206) 445-8454
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007
(206) 788-3700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
03/29/2021
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