Modad, Michelle Emily

Modad, Michelle Emily is an sole proprietor health care provider with primary practice located at 3023 80Th Ave Se Ste 200 , Mercer Island WA 98040-6014. She recently has only one registered license in Dental Providers / Dentist Anesthesiologist, which is considered as her primary health care specialty. Modad, Michelle Emily can be contacted via phone (206) 690-5417.

Contact Information

Primary practice address
3023 80Th Ave Se Ste 200 Mercer Island WA 98040-6014
Phone: (206) 690-5417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X DE61149859 Washington

Profile Details

NPI number 1982100475
LBN Legal business name Modad, Michelle Emily
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2018
Last updated Jul 15th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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