Provider Demographics
NPI:1770570681
Name:AFLATOONI, ARASH ALEX (DDS)
Entity type:Individual
Prefix:MR
First Name:ARASH
Middle Name:ALEX
Last Name:AFLATOONI
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:18323 BOTHELL EVERETT HWY
Mailing Address - Street 2:SUITE 340
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-5246
Mailing Address - Country:US
Mailing Address - Phone:425-482-2322
Mailing Address - Fax:425-482-4361
Practice Address - Street 1:18323 BOTHELL EVERETT HWY
Practice Address - Street 2:SUITE 340
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-5246
Practice Address - Country:US
Practice Address - Phone:425-482-2322
Practice Address - Fax:425-482-4361
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WADE000088161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5039797Medicaid