Individual
MR. MASSOUD KHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4410 194TH ST SW, #C, LYNNWOOD, WA 98036
(425) 775-6614
(425) 774-1612
Mailing address
4410 194TH ST SW, #C, LYNNWOOD, WA 98036
(425) 775-6614
(425) 774-1612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7413
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5038617
—
WA
Enumeration date
11/16/2006
Last updated
07/08/2007
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