Aboulhosn and Valentine PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

60383042 Issued in WA

Legal business name

ABOULHOSN AND VALENTINE PLLC

Doing business as

Icon Dental Center

Practice address

2815 2ND Ave Ste 101
Seattle, WA 98121-1262

Phone

(425) 337-2400

Fax

(425) 337-1916

NPI assigned

Mar 21, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jacky A Chan

Title

Financial Coordinator

Phone

(425) 337-2400

Specialties & licenses 1

Addresses

Other names 1

• Icon Dental Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1154825321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 2ND AVE STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211262",
            "telephone_number": "425-337-2400",
            "fax_number": "425-337-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 2ND AVE STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211262",
            "telephone_number": "425-337-2400",
            "fax_number": "425-337-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOULHOSN AND VALENTINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JACKY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "425-337-2400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "60383042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Icon Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Michael Abodeely, M.A., LMFT
• Joseph Aborowa, CNA, MED-TECH
• Jad Abou-Khalil, M.D.
• Noha Aboueldahab, M.D.
• David M Aboulafia, MD
• Heran B Abraha
• Tseguy W Abraha, PHARMD
• Abraham Pena Psychotherapy PLLC
• Biyao Abraham
• Deepa Abraham, MD

• Dental Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.