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NPI Code Detail

MEDICARE: NATASHA HABIB DDS

MEDICARE: NATASHA HABIB 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
11223G0001XGeneral Practice DentistryDE00009369WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10187740OTHERWASTATE LABOR AND INDUSTRIE
23664HAOTHERWAREGENCE BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821174517
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA HABIB DDS
Provider Business Mailing Address
First Line : 6206 168TH SWST A
Second Line :
City : LYNNWOOD
State : WA
Zip : 98037-2749
Country : US
Telephone Number : 425-743-4674
Fax Number :
Provider Business Practice Location Address
First Line : 9710 STATE AVE
Second Line :
City : MARYSVILLE
State : WA
Zip : 98270-2232
Country : US
Telephone Number : 360-653-1742
Fax Number : 360-653-2099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 11/04/2015

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Directions to “ NATASHA HABIB DDS” Practice Location

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