Organization
SAHLI, IM, GU PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUTAZ SAHLI DDS (OWNER)
(425) 291-9555
Entity
Organization
Contact information
Practice address
7100 FUN CENTER WAY STE 110, TUKWILA, WA 98188-5540
(425) 291-9555
(425) 291-9556
Mailing address
7100 FUN CENTER WAY STE 110, TUKWILA, WA 98188-5540
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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