Individual
DR. SOGOL SEGHATOLESLAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS. MS
Contact information
Practice address
8305 W QUINAULT AVE, KENNEWICK, WA 99336-1138
(509) 628-0110
Mailing address
725 N CENTER PKWY APT F201, KENNEWICK, WA 99336-8224
(949) 540-3871
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE61187204
WA
Other
Enumeration date
10/25/2021
Last updated
10/30/2021
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