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Individual

DR. VAHID ALL ATABAKHSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
24401 104TH AVE SE STE 202, KENT, WA 98030-4903
(253) 850-6999
(253) 852-1332
Mailing address
1121 5TH ST, KIRKLAND, WA 98033-5632
(425) 285-9863

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
0401411118
VA
1223E0200X
Endodontics
13879
MD
1223E0200X
Endodontics
47348
CA
1223E0200X
Endodontics
Primary
DE60103522
WA

Other

Enumeration date
12/14/2006
Last updated
09/01/2010
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