Individual provider · Type 1 NPI

Elaha Bashizada

Pediatric Dentistry · Renton, WA

NPI number 1144809468 Active

Practice location

3900 E Valley Rd Ste 105
Renton, WA 98057-4954

Call (425) 255-5532 Map

Mailing address

25304 117th Ave SE
Kent, WA 98030-5640

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDE61445104 (WA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1144809468

Elaha Bashizada's National Provider Identifier is 1144809468, issued on Apr 5, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Renton, WA. The record was last updated on Sep 29, 2025.