Individual
NELI RAZAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 LINCOLN ST SECOND FLOOR, TACOMA, WA 98431-0001
(858) 342-5156
Mailing address
9900 LINCOLN ST SECOND FLOOR, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
111463
CA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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