Individual
TOMOMI J IDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 SE EVERETT MALL WAY, EVERETT, WA 98208-3208
(425) 341-7827
Mailing address
4111 194TH ST SW, LYNNWOOD, WA 98036-4604
(425) 835-5200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE61165856
WA
1223P0221X
Pediatric Dentistry
Primary
DE61165856
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
03/03/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us