Ghafghazi Dds,p.s. | |
1002 Park Ave N Ste H Renton WA 98057-5632 | |
(617) 605-5655 | |
Not Available |
Full Name | Ghafghazi Dds,p.s. |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 1002 Park Ave N Ste H, Renton, Washington |
Authorized Official Name and Position | Shahram Ghafghazi (PRESIDENT) |
Authorized Official Contact | 6176055655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ghafghazi Dds,p.s. 720 N 10th St # A-364 Renton WA 98057-5525 Ph: () - | Ghafghazi Dds,p.s. 1002 Park Ave N Ste H Renton WA 98057-5632 Ph: (617) 605-5655 |
NPI Number | 1912271776 |
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Provider Enumeration Date | 02/26/2012 |
Last Update Date | 02/26/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912271776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DE 00010518 (Washington) | Primary |
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