| Ni Shahi Pllc | |
|
20639 State Route 410 E Bonney Lake WA 98391-8461 | |
| (253) 862-0194 | |
| (253) 862-9068 |
| Full Name | Ni Shahi Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20639 State Route 410 E, Bonney Lake, Washington |
| Authorized Official Name and Position | Gentai Ni (OWNER) |
| Authorized Official Contact | 4257492898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ni Shahi Pllc 20639 State Route 410 E Bonney Lake WA 98391-8461 Ph: (253) 862-0194 | Ni Shahi Pllc 20639 State Route 410 E Bonney Lake WA 98391-8461 Ph: (253) 862-0194 |
| NPI Number | 1215691837 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 10/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215691837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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