Individual
GENTAI NI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11216 NE 15TH ST STE A, BELLEVUE, WA 98004-3724
(425) 454-3221
(888) 299-5920
Mailing address
11216 NE 15TH ST STE A, BELLEVUE, WA 98004-3724
(425) 454-3221
(888) 299-5920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE61007817
WA
1223G0001X
General Practice Dentistry
Primary
DE61007817
WA
Other
Enumeration date
07/30/2019
Last updated
06/08/2026
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