Individual
MRS. PARIVASH KHAJAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
14212 AMBAUM BLVD, SW #305, BURIEM, WA 98166
(206) 988-3968
(206) 988-3969
Mailing address
14212 AMBAUM BLVD SW STE 305, BURIEN, WA 98166-1437
(206) 988-3968
(206) 988-3969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7998
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5037023
—
WA
01
—
911886
UNITED CONCORDIA
WA
Enumeration date
03/01/2007
Last updated
12/17/2021
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