Individual
DR. BAKHTIAR ARDI PRIBADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
430 N WEST AVE STE 1, ARLINGTON, WA 98223-1539
(360) 474-9163
Mailing address
11809 63RD AVE SE, SNOHOMISH, WA 98296-6956
(415) 601-0095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010465
WA
Other
Enumeration date
10/17/2006
Last updated
07/29/2010
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