Individual
NIVEDITHA VENKATESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MPH, MSD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-6110
(206) 543-6501
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-6370
(206) 543-6501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60729248
WA
Other
Enumeration date
05/08/2014
Last updated
03/14/2019
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