Individual
ZEESHAWN MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
527 BOREN AVE N, SEATTLE, WA 98109-5502
(206) 274-1211
Mailing address
4600 UNION BAY PL NE APT 611, SEATTLE, WA 98105-5557
(732) 513-5293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61566846
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2017
Last updated
10/01/2024
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