Provider Demographics
NPI:1689881229
Name:MAHIL, SABRINA (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:
Last Name:MAHIL
Suffix:
Gender:F
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15834 74TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-4222
Mailing Address - Country:US
Mailing Address - Phone:209-609-1105
Mailing Address - Fax:
Practice Address - Street 1:1448 NW MARKET ST STE 230
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3743
Practice Address - Country:US
Practice Address - Phone:206-783-9672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0546601223S0112X
WA605657941223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery