Organization
NIMA FOROUTAN DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIMA FOROUTAN (DENTIST)
(425) 786-8879
Entity
Organization
Contact information
Practice address
410 BELLEVUE WAY SE STE 102, BELLEVUE, WA 98004-6649
(425) 454-3833
(425) 635-9312
Mailing address
410 BELLEVUE WAY SE STE 102, BELLEVUE, WA 98004-6649
(425) 454-3833
(425) 635-9312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60384118
WA
Other
Enumeration date
12/24/2015
Last updated
12/24/2015
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