Osafi, Javid Faran

Osafi, Javid Faran is an sole proprietor health care provider with primary practice located at 19020 Bothell Way Ne Ste C , Bothell WA 98011-2996. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Osafi, Javid Faran can be contacted via phone (702) 612-0687.

Contact Information

Primary practice address
19020 Bothell Way Ne Ste C Bothell WA 98011-2996
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DE60745079 Washington

Profile Details

NPI number 1679019681
LBN Legal business name Osafi, Javid Faran
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2017
Last updated Jun 16th, 2018 - about 7 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679019681 NPPES
Washington MEDICAID 2080083

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