Provider Demographics
NPI:1568192466
Name:SALEHI OKA, ELAHEH (DMD)
Entity Type:Individual
Prefix:DR
First Name:ELAHEH
Middle Name:
Last Name:SALEHI OKA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:AZAR
Other - Middle Name:
Other - Last Name:HOZOORI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2403 WOOLSEY RD UNIT C
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98903-5813
Mailing Address - Country:US
Mailing Address - Phone:310-227-1630
Mailing Address - Fax:
Practice Address - Street 1:4309 W NOB HILL BLVD
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3971
Practice Address - Country:US
Practice Address - Phone:509-823-4480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-14
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE61300093122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist