Individual
NILOUFAR AMINTAVAKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSC
Contact information
Practice address
14645 NE BEL RED RD, BELLEVUE, WA 98007-3929
(425) 644-2205
Mailing address
14645 NE BEL RED RD, BELLEVUE, WA 98007-3929
(425) 644-2205
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
79 000060
NY
1223X0008X
Oral and Maxillofacial Radiology Dentistry
DENT.DE.61159964
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DENT.DE.61159964
WA
Other
Enumeration date
09/11/2016
Last updated
03/26/2026
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