Provider Demographics
NPI:1366608044
Name:CHIHAB, HASSAN (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:HASSAN
Middle Name:
Last Name:CHIHAB
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4955 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-3400
Mailing Address - Country:US
Mailing Address - Phone:425-747-8788
Mailing Address - Fax:425-747-3564
Practice Address - Street 1:4301 FACTORIA BLVD SE
Practice Address - Street 2:SUITE B
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1982
Practice Address - Country:US
Practice Address - Phone:425-747-8788
Practice Address - Fax:425-747-3564
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000083661223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics