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Im Ghorbanian Kahlon Dds Pllc
Dental Clinic/Center in North Bend, Washington
NPI 1477057255

Im Ghorbanian Kahlon Dds Pllc is a Dental Clinic/Center based in North Bend, WA and is specialized in Dental. Im Ghorbanian Kahlon Dds Pllc practices in North Bend, WA. The NPI Number for Im Ghorbanian Kahlon Dds Pllc is 1477057255 and holds a License No. (Washington).

The current practice location address for Im Ghorbanian Kahlon Dds Pllc is 404 Main Ave S, North Bend, WA and can be reached out via phone at 425-669-9015.

Location: 404 Main Ave S, North Bend, WA, 98045-8215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477057255
Provider Name
Im Ghorbanian Kahlon Dds Pllc
Credential
Provider Entity Type
Organization
Address
404 Main Ave S, North Bend, WA, 98045-8215
Phone Number
425-669-9015
Fax Number
Provider Enumeration Date
03/19/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1518111541 01 WA NPI INDIVIDUAL
1013323518 01 WA NPI INDIVIDUAL
1275606188 01 WA NPI INDIVIDUAL
1023149358 01 WA NPI INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
404 Main Ave S
City
North Bend
State
Washington
Zip
98045-8215
Phone Number
425-669-9015
Fax Number
person
Provider Business Mailing Address Details
Address
404 Main Ave S
City
North Bend
State
Washington
Zip
98045-8215
Phone Number
425-669-9015
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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