MEDICARE: DR. SOPHIA SAREEN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	61567451	WA

General Provider Information

NPI Number	:	1245078385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOPHIA SAREEN DDS

Provider Business Mailing Address
First Line	:	520 N OLYMPIC AVE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-1247
Country	:	US
Telephone Number	:	647-515-7101
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 N OLYMPIC AVE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-1247
Country	:	US
Telephone Number	:	206-335-6770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2024
Last Update Date	:	07/15/2024

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