Healthcare Provider Details

I. General information

NPI: 1073851507
Provider Name (Legal Business Name): SAHAR KAMKAR D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 11/08/2021
Certification Date: 11/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-2417
US

IV. Provider business mailing address

15731 NE 8TH ST UNIT 6911
BELLEVUE WA
98008-4058
US

V. Phone/Fax

Practice location:
  • Phone: 206-616-6996
  • Fax:
Mailing address:
  • Phone: 425-298-7488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number61021025
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: