Individual
BISHOY AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4111 194TH ST SW, LYNNWOOD, WA 98036-4604
(530) 651-3199
Mailing address
4111 194TH ST SW, LYNNWOOD, WA 98036-4604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
106702
CA
122300000X
Dentist
Primary
61602657
WA
Other
Enumeration date
03/27/2020
Last updated
04/02/2025
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