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Organization

NIMA EHSAN MD DDS PLLC

Active
Other names
Redmond Implant and Oral Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
NIMA EHSAN MD DDS (OWNER)
(425) 882-9116
Entity
Organization

Contact information

Practice address
8575 164TH AVE NE STE 300, REDMOND, WA 98052-3679
(425) 882-9116
Mailing address
8575 164TH AVE NE STE 300, REDMOND, WA 98052-3679
(425) 882-9116

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
04/11/2025
Last updated
04/11/2025
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