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Organization

ANUSHA R ETIKALA BDS MS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANUSHA R ETIKALA BDS, MS (OWNER DENTIST)
(206) 365-5880
Entity
Organization

Contact information

Practice address
2611 NE 125TH ST STE 236, SEATTLE, WA 98125-4357
(206) 365-5880
(206) 365-6412
Mailing address
2611 NE 125TH ST STE 236, SEATTLE, WA 98125-4357
(206) 365-5880
(206) 365-6412

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/20/2026
Last updated
01/20/2026
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