Individual
REATHM K AZAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2814 FLINT ST, BELLINGHAM, WA 98226-4436
(360) 734-9928
Mailing address
288 WEST 62ND AVE, VANCOUVER, BRITISH COLUMBIA V5X2E-2
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61567452
WA
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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