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Organization

OSAFI PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAVID OSAFI (OWNER DENTIST)
(702) 612-0687
Entity
Organization

Contact information

Practice address
15580 3RD AVE SW STE 201, BURIEN, WA 98166-4566
(206) 741-1700
Mailing address
3500 MAPLE AVE STE 1600, DALLAS, TX 75219-3936

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223G0001X
General Practice Dentistry
Primary
1223P0700X
Prosthodontics

Other

Enumeration date
04/06/2023
Last updated
04/06/2023
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