Basic Information
| Provider Information | |||||||||
| NPI: | 1104233774 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SALAMATI | ||||||||
| FirstName: | NAYRIKA | ||||||||
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| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 731 N 200TH ST | ||||||||
| Address2: | |||||||||
| City: | SHORELINE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981333101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4253082139 | ||||||||
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| Practice Location | |||||||||
| Address1: | 23320 HWY 99 | ||||||||
| Address2: | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY | ||||||||
| City: | EDMONDS | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256405533 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2014 | ||||||||
| LastUpdateDate: | 10/22/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 60473159 | WA | Y | Dental Providers | Dentist | 122300000X | 63519 | CA | N | Dental Providers | Dentist |
No ID Information.