Provider Demographics
NPI:1992364418
Name:RASHMI MALHOTRA PLLC
Entity Type:Organization
Organization Name:RASHMI MALHOTRA PLLC
Other - Org Name:SEABLUE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:MALHOTRA
Authorized Official - Suffix:
Authorized Official - Credentials:MSD
Authorized Official - Phone:253-336-3000
Mailing Address - Street 1:23914 100TH AVE SE STE 100
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-4234
Mailing Address - Country:US
Mailing Address - Phone:253-336-3000
Mailing Address - Fax:253-336-3050
Practice Address - Street 1:23914 100TH AVE SE STE 100
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-4234
Practice Address - Country:US
Practice Address - Phone:253-336-3000
Practice Address - Fax:253-336-3050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-08
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty