Provider Demographics
NPI:1346796315
Name:NEHCHIRI, NAZANIN (DDS)
Entity Type:Individual
Prefix:
First Name:NAZANIN
Middle Name:
Last Name:NEHCHIRI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13601 98TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-1904
Mailing Address - Country:US
Mailing Address - Phone:425-246-6884
Mailing Address - Fax:
Practice Address - Street 1:13601 98TH AVE NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-1904
Practice Address - Country:US
Practice Address - Phone:425-246-6884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60675712122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist