Provider Demographics
NPI:1275282808
Name:RAI, NAZIFA ARSALAN (DDS)
Entity Type:Individual
Prefix:
First Name:NAZIFA
Middle Name:ARSALAN
Last Name:RAI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:NAZIFA
Other - Middle Name:
Other - Last Name:FATIMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:527 BOREN AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-5502
Mailing Address - Country:US
Mailing Address - Phone:206-274-1211
Mailing Address - Fax:
Practice Address - Street 1:527 BOREN AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5502
Practice Address - Country:US
Practice Address - Phone:206-274-1211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE61193524122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist