MICHELLE EMILY MODAD

MERCER ISLAND, WA
NPI1982100475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223D0004X Dentist, Dentist Anesthesiologist Speciality
(Licence: WA  DE61149859)
Enumeration Date2018-04-03
Last Update Date2024-07-15
Business Address
MICHELLE EMILY MODAD
3023 80TH AVE SE STE 200
MERCER ISLAND, WA 98040-6014
Phone number: 206-690-5417
Mailing Address
MICHELLE EMILY MODAD
2519 13TH AVE S
SEATTLE, WA 98144-5008
Phone number: 573-308-0333