Individual
DR. MARYAM TABARESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
24325 7TH PL W, BOTHELL, WA 98021-8525
(425) 219-3836
Mailing address
24325 7TH PL W, BOTHELL, WA 98021-8525
(425) 219-3836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61078545
WA
122300000X
Dentist
Primary
DE61078545
WA
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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