Individual
DANIA MUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 SE CHKALOV DR, VANCOUVER, WA 98683-5240
(360) 997-0626
Mailing address
4071 LEE RD STE 260, CLEVELAND, OH 44128-2173
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DENT.DE.70019265
WA
Other
Enumeration date
05/08/2023
Last updated
06/17/2026
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