Individual
DR. HANI EID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS.
Contact information
Practice address
1717 OLYMPIA WAY, SUITE 101, LONGVIEW, WA 98632-3929
(360) 636-1900
Mailing address
1717 OLYMPIA WAY, SUITE 101, LONGVIEW, WA 98632-3929
(360) 636-1900
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00009669
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5045679
—
WA
Enumeration date
06/19/2006
Last updated
07/08/2007
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