Individual
ABHISHAKE K BANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
14420 NE BEL RED RD STE 201, BELLEVUE, WA 98007-3930
(425) 644-8000
Mailing address
14420 NE BEL RED RD STE 201, BELLEVUE, WA 98007-3930
(425) 644-8000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
60561287
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2009
Last updated
12/05/2023
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