Healthcare Provider Details

I. General information

NPI: 1114049574
Provider Name (Legal Business Name): HUDA ALBATHER DDS,MDS,MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14700 NE 8TH ST STE 205
BELLEVUE WA
98007-4115
US

IV. Provider business mailing address

16420 SE 39TH PL
BELLEVUE WA
98008-5858
US

V. Phone/Fax

Practice location:
  • Phone: 425-644-7444
  • Fax:
Mailing address:
  • Phone: 425-644-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDE00008794
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: