Individual
SAMINA QUIDWAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 112TH ST SW, EVERETT, WA 98204-4875
(509) 435-3479
Mailing address
1019 112TH ST SW, EVERETT, WA 98204-4875
(509) 435-3479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60572534
WA
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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