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Individual

KOUROSH PARASTESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
16200 116TH AVE SE, RENTON, WA 98058-5200
(425) 400-1899
(425) 988-1248
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE70016665
WA
1223G0001X
General Practice Dentistry
DENT.DE.70016665
WA
171R00000X
Interpreter
MA4305
WA

Other

Enumeration date
07/08/2021
Last updated
12/04/2025
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