Provider Demographics
NPI:1851162887
Name:ALZEER, OMAR
Entity Type:Individual
Prefix:
First Name:OMAR
Middle Name:
Last Name:ALZEER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18811 1ST PL W
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-6266
Mailing Address - Country:US
Mailing Address - Phone:206-355-7246
Mailing Address - Fax:
Practice Address - Street 1:18811 1ST PL W
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-6266
Practice Address - Country:US
Practice Address - Phone:206-355-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant