| Redmond Implant and Oral Surgery | |
|
8575 164th Ave Ne Ste 300 Redmond WA 98052-3679 | |
| (425) 882-9116 | |
| Not Available |
| Full Name | Redmond Implant and Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8575 164th Ave Ne Ste 300, Redmond, Washington |
| Authorized Official Name and Position | Nima Ehsan (OWNER) |
| Authorized Official Contact | 4258829116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redmond Implant and Oral Surgery 8575 164th Ave Ne Ste 300 Redmond WA 98052-3679 Ph: (425) 882-9116 | Redmond Implant and Oral Surgery 8575 164th Ave Ne Ste 300 Redmond WA 98052-3679 Ph: (425) 882-9116 |
| NPI Number | 1962297952 |
|---|---|
| Provider Enumeration Date | 04/11/2025 |
| Last Update Date | 04/11/2025 |
| Certification Date | 04/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962297952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (NU) | Primary |
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