Provider Demographics
NPI:1609675891
Name:NASROLAHI ALLENDER DENTAL PLLC
Entity type:Organization
Organization Name:NASROLAHI ALLENDER DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLENDER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:541-968-6448
Mailing Address - Street 1:8700 NE HAZEL DELL AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-8067
Mailing Address - Country:US
Mailing Address - Phone:360-574-8700
Mailing Address - Fax:
Practice Address - Street 1:8700 NE HAZEL DELL AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8067
Practice Address - Country:US
Practice Address - Phone:360-574-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental