Provider Demographics
NPI:1023239910
Name:AFIFI, ANOUSHAH (DDS)
Entity type:Individual
Prefix:DR
First Name:ANOUSHAH
Middle Name:
Last Name:AFIFI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANOOSH
Other - Middle Name:
Other - Last Name:AFIFI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:600 BROADWAY STE 500
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5396
Mailing Address - Country:US
Mailing Address - Phone:206-323-9000
Mailing Address - Fax:206-323-2402
Practice Address - Street 1:600 BROADWAY STE 500
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5396
Practice Address - Country:US
Practice Address - Phone:206-323-9000
Practice Address - Fax:206-323-2402
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000062451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice