DR. Kam Derakshani, DDS
NPI #1104849900 in Bellevue, Washington
Provider Information
- NPI Number
- 1104849900
- Entity Type
- Individual
- Name
- DR. Kam Derakshani, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Apr 15, 2009
Practice Location
- Address
- 1551 116TH AVE. NE
- Address 2
- #B-1
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98004
- Phone
- (425) 373-1605
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