Individual
DR. AYESHA NAUREEN ZAHURULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10011 BRIDGEPORT WAY SW STE 700, LAKEWOOD, WA 98499-2350
(253) 215-1101
Mailing address
207 MERIDIAN AVE E APT M208, EDGEWOOD, WA 98371-1088
(248) 790-7355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019028228
IL
1223G0001X
General Practice Dentistry
2901020106
MI
1223G0001X
General Practice Dentistry
Primary
DE61100291
WA
Other
Enumeration date
04/19/2010
Last updated
03/11/2021
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