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General NPI Number Information
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NPI Number | 1669320156
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Entity Type | Organization
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Legal Business Name | KETAN JUMANI DDS PLLC
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 22620 SE 4TH ST STE 120
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City | SAMMAMISH
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State | WA
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Zip | 98074-7375
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Country | US
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Telephone | 510-323-6993
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Fax |
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Provider Business Mailing Address
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Address Line | 22620 SE 4TH ST STE 120
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City | SAMMAMISH
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State | WA
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Zip | 98074-7375
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Country | US
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Telephone | 510-323-6993
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST/OWNER
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Name | KETAN S JUMANI
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Credential | DDS MSD
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Telephone | 510-323-6993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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