Provider Demographics
NPI:1740079854
Name:SERAJ, DAVID DORAN (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DORAN
Last Name:SERAJ
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8802 NE 160TH PL
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-7416
Mailing Address - Country:US
Mailing Address - Phone:425-205-7008
Mailing Address - Fax:
Practice Address - Street 1:1100 ELLIS ST STE 1
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5244
Practice Address - Country:US
Practice Address - Phone:360-762-6175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program