Individual
MRS. PRACHI H SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7935 216TH ST SW STE D, EDMONDS, WA 98026-7941
(425) 774-5511
(425) 774-5590
Mailing address
76 CEDAR ST UNIT 704, SEATTLE, WA 98121-4107
(650) 495-2182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60959377
WA
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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