Organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMES SHAHBAZIAN (CFO)
(206) 788-3618
Entity
Organization
Contact information
Practice address
16549 AURORA AVE N, SHORELINE, WA 98133-5308
(206) 533-2600
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60494645
WA
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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