Provider Demographics
NPI:1447731013
Name:AMAR, ISABELLA (DDS)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:
Last Name:AMAR
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16150 NE 85TH ST STE 115
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3541
Mailing Address - Country:US
Mailing Address - Phone:206-208-9168
Mailing Address - Fax:
Practice Address - Street 1:16150 NE 85TH ST STE 115
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3541
Practice Address - Country:US
Practice Address - Phone:206-208-9168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-22
Last Update Date:2025-03-07
Deactivation Date:2020-08-13
Deactivation Code:
Reactivation Date:2020-08-21
Provider Licenses
StateLicense IDTaxonomies
WADE608752501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice