Provider Demographics
NPI:1760218853
Name:MARAGHEHPOUR, BITA (DDS, MPH, DABOP)
Entity type:Individual
Prefix:
First Name:BITA
Middle Name:
Last Name:MARAGHEHPOUR
Suffix:
Gender:F
Credentials:DDS, MPH, DABOP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32114 1ST AVE S STE 104
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5760
Mailing Address - Country:US
Mailing Address - Phone:253-352-4493
Mailing Address - Fax:866-861-6286
Practice Address - Street 1:32114 1ST AVE S STE 104
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5760
Practice Address - Country:US
Practice Address - Phone:253-352-4493
Practice Address - Fax:866-861-6286
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADENT.DE.61586366122300000X, 1223X2210X
TX411631223X2210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X2210XDental ProvidersDentistOrofacial Pain
Yes122300000XDental ProvidersDentist