Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DE 9891 | WA |
NPI | 1134346398 |
---|---|
Provider Name | Dr. Nabil Al Krumly |
First Address | Bellevue, WA 98004-2851 |
Second Address | Seattle, WA 98125-6156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 28/08/2017 |