Individual
MINA MOAZZENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1505 3RD PL, KIRKLAND, WA 98033-5556
(408) 221-2009
Mailing address
1505 3RD PL, KIRKLAND, WA 98033-5556
(408) 221-2009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60496230
WA
Other
Enumeration date
11/26/2013
Last updated
11/21/2015
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