Individual
DR. NADER TAWAKKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1520 DUVALL AVE NE, RENTON, WA 98059-3920
(425) 228-7460
Mailing address
2630 EMERALD AVE, ANN ARBOR, MI 48104-6400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901022303
MI
122300000X
Dentist
Primary
DE60932123
WA
Other
Enumeration date
06/09/2017
Last updated
02/11/2023
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