Provider Demographics
NPI:1942416573
Name:REKHI PLLC
Entity Type:Organization
Organization Name:REKHI PLLC
Other - Org Name:HIGHLAND DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRINCY
Authorized Official - Middle Name:S
Authorized Official - Last Name:REKHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-774-5511
Mailing Address - Street 1:7935 216TH ST SW # D
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026
Mailing Address - Country:US
Mailing Address - Phone:425-774-5511
Mailing Address - Fax:425-774-5590
Practice Address - Street 1:7935 216TH ST SW # D
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026
Practice Address - Country:US
Practice Address - Phone:425-774-5511
Practice Address - Fax:425-774-5590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA9572122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty