Search › Washington › 1223D0004X
Michelle Modad
NPI 1982100475 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3023 80th Ave Se Ste 200
Mercer Island, WA 98040 - Phone
- (206) 690-5417
- Organisation at this address
- Matthew T Streelman Dds Md Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223D0004X
1223D0004X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington