Individual
DR. GHAZAL DIBAJI-HEDAYATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3602 6TH AVE, TACOMA, WA 98406-5450
(253) 777-4461
Mailing address
3602 6TH AVE, TACOMA, WA 98406-5450
(253) 777-4461
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60740698
WA
1223G0001X
General Practice Dentistry
DE60740698
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094646
—
WA
Enumeration date
07/20/2017
Last updated
03/30/2026
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