Provider Demographics
NPI:1356959357
Name:MOMI, RAPINDER (DDS)
Entity type:Individual
Prefix:
First Name:RAPINDER
Middle Name:
Last Name:MOMI
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 1:3909 185TH PL SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-3813
Mailing Address - Country:US
Mailing Address - Phone:425-345-6807
Mailing Address - Fax:
Practice Address - Street 1:520 N OLYMPIC AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1247
Practice Address - Country:US
Practice Address - Phone:360-435-4043
Practice Address - Fax:360-435-2344
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE611191001223G0001X, 1223G0001X
IADDS-098181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice