Provider Demographics
NPI:1548801657
Name:NAVID FARZADFAR DDS PLLC
Entity type:Organization
Organization Name:NAVID FARZADFAR DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-329-3670
Mailing Address - Street 1:8575 164TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3679
Mailing Address - Country:US
Mailing Address - Phone:425-885-3010
Mailing Address - Fax:425-882-0373
Practice Address - Street 1:8575 164TH AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3679
Practice Address - Country:US
Practice Address - Phone:425-885-3010
Practice Address - Fax:425-882-0373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental