Individual
NATASHA HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9710 STATE AVE, MARYSVILLE, WA 98270-2232
(360) 653-1742
(360) 653-2099
Mailing address
6206 168TH SWST A, LYNNWOOD, WA 98037-2749
(425) 743-4674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009369
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187740
STATE LABOR AND INDUSTRIE
WA
01
—
3664HA
REGENCE BLUE SHIELD
WA
05
—
5042783
—
WA
Enumeration date
10/27/2006
Last updated
11/04/2015
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