Provider Demographics
NPI:1548778574
Name:WAMAI, HARRISON (DDS)
Entity Type:Individual
Prefix:
First Name:HARRISON
Middle Name:
Last Name:WAMAI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16317 SE 9TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-4963
Mailing Address - Country:US
Mailing Address - Phone:720-646-9559
Mailing Address - Fax:
Practice Address - Street 1:6720 FORT DENT WAY STE 210
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2580
Practice Address - Country:US
Practice Address - Phone:206-433-5595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-11
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0252951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice