Provider Demographics
NPI:1346792207
Name:AL TAMEEMI, NASER
Entity Type:Individual
Prefix:
First Name:NASER
Middle Name:
Last Name:AL TAMEEMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 S 332ND ST
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6840
Mailing Address - Country:US
Mailing Address - Phone:206-432-2997
Mailing Address - Fax:
Practice Address - Street 1:2030 S 332ND ST
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6840
Practice Address - Country:US
Practice Address - Phone:206-432-2997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DENR.DN.60658397122400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122400000XDental ProvidersDenturist