Individual
DR. NEDA MODARESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
13114 120TH AVE NE, KIRKLAND, WA 98034-3014
(425) 296-7555
Mailing address
10829 101ST PL NE, KIRKLAND, WA 98033-4431
(949) 394-4105
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0401414922
VA
1223P0221X
Pediatric Dentistry
Primary
DE60903814
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/14/2013
Last updated
07/14/2022
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