Provider Demographics
NPI:1902815137
Name:MOAWAD, MAJED (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAJED
Middle Name:
Last Name:MOAWAD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1918 152ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4880
Mailing Address - Country:US
Mailing Address - Phone:425-487-0908
Mailing Address - Fax:425-481-9493
Practice Address - Street 1:17000 140TH AVE NE
Practice Address - Street 2:SUITE 204
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-6928
Practice Address - Country:US
Practice Address - Phone:425-487-0908
Practice Address - Fax:425-491-9493
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE82071223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics