Individual
FARZAD KHALILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D
Contact information
Practice address
12816 SE 38TH ST, SUITE I, BELLEVUE, WA 98006-1327
(425) 558-3967
Mailing address
12816 SE 38TH ST, SUITE I, BELLEVUE, WA 98006-1327
(425) 558-3967
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN 60121423
WA
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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