Provider Demographics
NPI:1285161547
Name:QARI, HIBA (BDS,MS)
Entity type:Individual
Prefix:
First Name:HIBA
Middle Name:
Last Name:QARI
Suffix:
Gender:F
Credentials:BDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC STREET ROOM # B202 BOX 357133
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-7133
Mailing Address - Country:US
Mailing Address - Phone:206-543-4440
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC STREET
Practice Address - Street 2:ROOM # B202 BOX 357133
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-7133
Practice Address - Country:US
Practice Address - Phone:206-543-4440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH71.0002861223P0106X
WADF616063371223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology