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Organization

FREMONT FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAHVASH KHAJAVI-HARVEY (DENTIS)
(206) 267-7300
Entity
Organization

Contact information

Practice address
4464 FREMONT AVE N, SUITE 103, SEATTLE, WA 98103-7273
(206) 267-7300
Mailing address
4464 FREMONT AVE N, SUITE 103, SEATTLE, WA 98103-7273

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7667
WA

Other

Enumeration date
01/25/2007
Last updated
08/22/2020
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