Organization
ALLIED FAMILY DENTAL
Active
Parent organization
DR. NHI PHAM DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. NHI PHAM DDS
Authorized official
DIMITRI RABINOVICH (OPERATIONS MANAGER)
(206) 434-7117
Entity
Organization
Contact information
Practice address
14212 AMBAUM BLVD SW, SUITE 302, BURIEN, WA 98166-1449
(206) 244-7992
Mailing address
14212 AMBAUM BLVD SW, SUITE 302, BURIEN, WA 98166-1449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5032388
—
WA
Enumeration date
10/03/2011
Last updated
10/03/2011
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