Individual
ATMIYA SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-9800
(206) 543-7496
(206) 685-7222
Mailing address
4450 N HARLEM AVE, NORRIDGE, IL 60706-4745
(708) 402-9135
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034647
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DR61426866
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2022
Last updated
10/19/2023
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