Organization
IM GHORBANIAN KAHLON DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH IM (OFFICE MANAGER)
(425) 669-9015
Entity
Organization
Contact information
Practice address
404 MAIN AVE S, NORTH BEND, WA 98045-8215
(425) 669-9015
Mailing address
404 MAIN AVE S, NORTH BEND, WA 98045-8215
(425) 669-9015
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013323518
NPI INDIVIDUAL
WA
01
—
1023149358
NPI INDIVIDUAL
WA
01
—
1275606188
NPI INDIVIDUAL
WA
01
—
1518111541
NPI INDIVIDUAL
WA
Enumeration date
03/19/2018
Last updated
03/19/2018
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