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Organization
DO, GHORBANIAN, IM, KWON
Active
Organization
DO, GHORBANIAN, IM, KWON
Active
Other names
Sunrise Dental of Federal Way
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAU THI DO DMD (DENTIST / OWNER)
(253) 838-3232
Entity
Organization
Contact information
Practice address
33600 6TH AVE SO, SUITE - 102, FEDERAL WAY, WA 98003
(253) 838-3232
(253) 838-6063
Mailing address
33600 6TH AVE SO, SUITE - 102, FEDERAL WAY, WA 98003
(253) 838-3232
(253) 838-6063
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010309
WA
122300000X
Dentist
DE00010883
WA
1223P0300X
Periodontics
DE00009746
WA
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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