Individual
HANIEH SOROURNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15100 SE 38TH ST STE 302, BELLEVUE, WA 98006-1763
(425) 300-1019
Mailing address
2379 132ND AVE SE, BELLEVUE, WA 98005-4230
(206) 482-8524
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH61321781
WA
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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