Provider Demographics
NPI:1205517240
Name:PRASAI, SANIRA (DDS)
Entity type:Individual
Prefix:DR
First Name:SANIRA
Middle Name:
Last Name:PRASAI
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 1:9720 ROOSEVELT WAY NE APT 204
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2203
Mailing Address - Country:US
Mailing Address - Phone:206-482-6144
Mailing Address - Fax:
Practice Address - Street 1:19620 HIGHWAY 99 STE 106
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5565
Practice Address - Country:US
Practice Address - Phone:425-670-1144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE61447142122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist