Provider Demographics
NPI:1114049574
Name:ALBATHER, HUDA (DDS,MDS,MPH)
Entity type:Individual
Prefix:DR
First Name:HUDA
Middle Name:
Last Name:ALBATHER
Suffix:
Gender:F
Credentials:DDS,MDS,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16420 SE 39TH PL
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-5858
Mailing Address - Country:US
Mailing Address - Phone:425-644-7444
Mailing Address - Fax:
Practice Address - Street 1:14700 NE 8TH ST STE 205
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4115
Practice Address - Country:US
Practice Address - Phone:425-644-7444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000087941223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics