Individual
PANTEA NAZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
555 S RENTON VILLAGE PL STE 610, RENTON, WA 98057-3287
(425) 271-5812
Mailing address
10401 113TH PL NE, KIRKLAND, WA 98033-5082
(408) 966-5485
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE61150281
WA
Other
Enumeration date
06/04/2021
Last updated
06/22/2022
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