Individual
MR. AMIR M EMAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
624 E 8TH ST, PORT ANGELES, WA 98362
(360) 452-7482
Mailing address
624 E 8TH ST, PORT ANGELES, WA 98362
(360) 452-7482
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
60692
CA
1223P0300X
Periodontics
Primary
DE60354477
WA
Other
Enumeration date
01/12/2006
Last updated
09/17/2016
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