Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | DN60180373 | WA |
NPI | 1740557156 |
---|---|
Provider Name | Mr. Anwar Saeed Sultan |
First Address | Seattle, WA 98118 |
Second Address | Seattle, WA 98118-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2011 |
Last Update Date | 30/11/2011 |