Individual
DR. SHOHREH KHORSANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
20036 19TH AVE. NE, SEATTLE, WA 98155
(206) 363-0401
Mailing address
2128 N 135TH ST, SEATTLE, WA 98133-7816
(206) 367-0391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7812
WA
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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