Provider Demographics
NPI:1578020632
Name:ABU & DEL ROSARIO, PLLC
Entity Type:Organization
Organization Name:ABU & DEL ROSARIO, PLLC
Other - Org Name:PARAMOUNT DENTAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALFADHLI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-739-9093
Mailing Address - Street 1:1220 HOWELL ST STE 110
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1407
Mailing Address - Country:US
Mailing Address - Phone:206-754-6024
Mailing Address - Fax:
Practice Address - Street 1:1220 HOWELL ST STE 110
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1407
Practice Address - Country:US
Practice Address - Phone:206-754-6024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty