Healthcare Provider Details

I. General information

NPI: 1306594775
Provider Name (Legal Business Name): SONALI SHARMA DDS, BDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 COLBY AVE
EVERETT WA
98201-2916
US

IV. Provider business mailing address

11007 122ND LN NE APT R133
KIRKLAND WA
98033-4696
US

V. Phone/Fax

Practice location:
  • Phone: 425-258-3331
  • Fax:
Mailing address:
  • Phone: 425-922-2955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SONALI SHARMA
Title or Position: OWNER
Credential: DDS, BDS
Phone: 425-922-2955