| Dkeidek PLLC | |
|
21807 76th Ave W Ste 1 Edmonds WA 98026-7938 | |
| (425) 775-2002 | |
| Not Available |
| Full Name | Dkeidek PLLC |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 21807 76th Ave W Ste 1, Edmonds, Washington |
| Authorized Official Name and Position | Issa Dkeidek (OWNER) |
| Authorized Official Contact | 7167132613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dkeidek PLLC 21807 76th Ave W Ste 1 Edmonds WA 98026-7938 Ph: (425) 775-2002 | Dkeidek PLLC 21807 76th Ave W Ste 1 Edmonds WA 98026-7938 Ph: (425) 775-2002 |
| NPI Number | 1528996725 |
|---|---|
| Provider Enumeration Date | 05/11/2026 |
| Last Update Date | 05/11/2026 |
| Certification Date | 05/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528996725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | Primary |
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