| Shahram Ghafghazi Dds,ps | |
|
14257 Ambaum Blvd Sw # 201 Burien WA 98166-1421 | |
| (617) 605-5655 | |
| Not Available |
| Full Name | Shahram Ghafghazi Dds,ps |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14257 Ambaum Blvd Sw # 201, Burien, 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 |
|---|---|
| Shahram Ghafghazi Dds,ps 14257 Ambaum Blvd Sw # 201 Burien WA 98166-1421 Ph: () - | Shahram Ghafghazi Dds,ps 14257 Ambaum Blvd Sw # 201 Burien WA 98166-1421 Ph: (617) 605-5655 |
| NPI Number | 1285884718 |
|---|---|
| Provider Enumeration Date | 09/20/2008 |
| Last Update Date | 09/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285884718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00010518 (Washington) | Primary |
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