Roozbeh Khosravi | |
3555 Mckinley Ave Tacoma WA 98404-2162 | |
(617) 466-9090 | |
Not Available |
Full Name | Roozbeh Khosravi |
---|---|
Speciality | Clinic/center - Dental |
Location | 3555 Mckinley Ave, Tacoma, Washington |
Authorized Official Name and Position | Roozbeh Khosravi (OWNER) |
Authorized Official Contact | 6174669090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Roozbeh Khosravi 5101 Ne 55th St 304 Seattle WA 98105-2868 Ph: (617) 466-9090 | Roozbeh Khosravi 3555 Mckinley Ave Tacoma WA 98404-2162 Ph: (617) 466-9090 |
NPI Number | 1538545637 |
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Provider Enumeration Date | 07/31/2015 |
Last Update Date | 07/31/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538545637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DE60504324 (Washington) | Primary |
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