Provider Demographics
NPI:1770504920
Name:GOHARKHAY, NEDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEDA
Middle Name:
Last Name:GOHARKHAY
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 1:700 NW GILMAN BLVD
Mailing Address - Street 2:SUITE E 101
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5395
Mailing Address - Country:US
Mailing Address - Phone:425-369-9100
Mailing Address - Fax:425-369-9536
Practice Address - Street 1:700 NW GILMAN BLVD
Practice Address - Street 2:SUITE E 101
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5395
Practice Address - Country:US
Practice Address - Phone:425-369-9100
Practice Address - Fax:425-369-9536
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA74891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice