Provider Demographics
NPI:1396387056
Name:ABEDI PLLC
Entity Type:Organization
Organization Name:ABEDI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:PARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABEDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:253-861-8900
Mailing Address - Street 1:2318 SUNNYSIDE HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:STEILACOOM
Mailing Address - State:WA
Mailing Address - Zip Code:98388-1365
Mailing Address - Country:US
Mailing Address - Phone:253-861-8900
Mailing Address - Fax:253-559-1661
Practice Address - Street 1:21110 MERIDIAN AVE E STE E3
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338-5706
Practice Address - Country:US
Practice Address - Phone:253-559-1660
Practice Address - Fax:253-559-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental