Michelle Emily Modad
NPI #1982100475 in Mercer Island, Washington
Provider Information
- NPI Number
- 1982100475
- Entity Type
- Individual
- Name
- Michelle Emily Modad
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Dental Anesthesiology
- Enumeration Date
- Apr 3, 2018
- Last Updated
- Jul 15, 2024
Practice Location
- Address
- 3023 80TH AVE SE STE 200
- City
- Mercer Island
- State
- Washington
- ZIP Code
- 98040-6014
- Phone
- (206) 690-5417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Anesthesiology — Dental Anesthesiology |
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|---|---|
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