Organization · NPI-2

Abedi Advanced Family Dentistry PLLC

Dentist, General Practice · Puyallup, WA

NPI number1558786145
StatusActive
Last updated in NPPESFeb 19, 2014

Details

NPI
1558786145
Entity type
Organization (NPI-2)
Legal business name
Abedi Advanced Family Dentistry PLLC
Organization subpart
No
Enumeration date
Feb 19, 2014
Last updated
Feb 19, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practicede00009718WAYes

Practice location

803 39th Ave Sw Ste E
Puyallup, WA 98373-3692

Phone 253-445-1500

Mailing address

2318 Sunnyside Heights Dr
Steilacoom, WA 98388-1365

Phone 253-576-2411

Authorized official

Parvin Abedi
Doctor
2535762411

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