Individual
DR. AMEEN RYAN SHAHNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-1907
(206) 616-6996
Mailing address
PO BOX 4174, BURBANK, CA 91503-4174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
61160
KS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE61393867
WA
Other
Enumeration date
07/02/2015
Last updated
10/18/2023
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