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NPI Code Detail

MEDICARE: NURANI, MITCHELL, KIM, PC

MEDICARE: NURANI, MITCHELL, KIM, PC
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
11223D0001XPublic Health Dentistry
2122300000XDentistDE00008078WA

General Provider Information

NPI Number : 1821433400
Entity Type Code : Organization
Provider Name (Legal Business Name) : NURANI, MITCHELL, KIM, PC
Provider Business Mailing Address
First Line : 24040 SE KENT KANGLEY RD UNIT E200
Second Line :
City : MAPLE VALLEY
State : WA
Zip : 98038-6934
Country : US
Telephone Number : 425-578-9152
Fax Number : 425-413-3816
Provider Business Practice Location Address
First Line : 24040 SE KENT KANGLEY RD UNIT E200
Second Line :
City : MAPLE VALLEY
State : WA
Zip : 98038-6934
Country : US
Telephone Number : 425-578-9152
Fax Number : 425-413-3816
Authorized Official
Title or Position : PRESIDENT
Name : DR. ASHIFA A NURANI
Credential : DDS
Telephone Number : 714-578-6358
Provider Enumeration Date : 05/08/2013
Last Update Date : 07/22/2015

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Directions to “NURANI, MITCHELL, KIM, PC ” Practice Location

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