Individual
PAYAM HEMMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19620 HIGHWAY 99 STE 106, LYNNWOOD, WA 98036-5565
(425) 670-1144
Mailing address
7435 CORLISS AVE N, SEATTLE, WA 98103-4932
(956) 453-5873
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61085734
WA
1223G0001X
General Practice Dentistry
35346
TX
Other
Enumeration date
07/01/2019
Last updated
10/22/2020
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