Individual
DR. SONU MATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11066 5TH AVE NE STE 102, SEATTLE, WA 98125
(206) 362-8200
(206) 362-0614
Mailing address
11066 5TH AVE NE STE 102, SEATTLE, WA 98125-6156
(206) 362-8200
(206) 362-0614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9458
WA
1223G0001X
General Practice Dentistry
Primary
9458
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831388135
TAX ID
—
Enumeration date
05/07/2008
Last updated
08/17/2018
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