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Individual

KETAN JUMANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6222 NE 74TH ST, SEATTLE, WA 98115
(206) 543-5800
Mailing address
13105 135TH PL NE, KIRKLAND, WA 98034-8772
(510) 323-6993

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60473597
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/25/2014
Last updated
07/08/2018
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