Individual
MAYANK SHOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15412 SE 4TH ST, BELLEVUE, WA 98007-5316
(206) 303-9596
Mailing address
15412 SE 4TH ST, BELLEVUE, WA 98007-5316
(206) 303-9596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60500876
WA
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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