Individual
PADMAVATHI RAJARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3800 S MYRTLE ST, SEATTLE, WA 98118-3529
(206) 461-6981
(206) 461-8581
Mailing address
905 SPRUCE ST, STE. 300, SEATTLE, WA 98104-2474
(206) 461-6935
(206) 461-8382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009203
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5037874
—
WA
Enumeration date
11/16/2006
Last updated
07/08/2007
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