Individual
PEEYUSH RANJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 OLYMPIA WAY, LONGVIEW, WA 98632-3929
(360) 636-1900
Mailing address
1717 OLYMPIA WAY, LONGVIEW, WA 98632-3929
(360) 636-1900
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE61007218
WA
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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