Individual
FADI SHAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
2111 N NORTHGATE WAY STE 215, SEATTLE, WA 98133-9018
(206) 367-6767
Mailing address
2111 N NORTHGATE WAY STE 215, SEATTLE, WA 98133-9018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60886789
WA
1223P0300X
Periodontics
Primary
DE60886789
WA
Other
Enumeration date
06/24/2019
Last updated
03/10/2023
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