Provider Demographics
NPI:1417280272
Name:ABOULHOSN, NADIA N (DDS)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:N
Last Name:ABOULHOSN
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 1:2722 COLBY AVE
Mailing Address - Street 2:SUITE 318
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3557
Mailing Address - Country:US
Mailing Address - Phone:425-551-1000
Mailing Address - Fax:425-551-1007
Practice Address - Street 1:2722 COLBY AVE
Practice Address - Street 2:SUITE 318
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3557
Practice Address - Country:US
Practice Address - Phone:425-551-1000
Practice Address - Fax:425-551-1007
Is Sole Proprietor?:No
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60102357122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist