Organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Active
Other names
ID Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HERMES SHAHBAZIAN (CFO)
(206) 788-3618
Entity
Organization
Contact information
Practice address
720 8TH AVE S, 100, SEATTLE, WA 98104-3032
(206) 788-3700
(206) 788-3704
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007
(206) 788-3600
(206) 652-5216
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
600436519
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5023353
—
WA
Enumeration date
11/01/2006
Last updated
03/29/2021
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