NPI 1013585025

Niecole Monisha Coder, DDS

Practitioner Dentist Bothell, WA

Practice location

Address: 1617 183rd St SE Unit 2, Bothell, WA 98012-6812
Phone: (425) 368-0608
Mailing address: 161 Summerside Dr, Cle Elum, WA 98922-8615

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DE61155879 (WA)

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Registry record

NPI: 1013585025
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2021
Record last updated: 15 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.