Individual
DR. NIMA EHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
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
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE61462451
WA
Other
Enumeration date
08/15/2011
Last updated
04/21/2025
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