Individual
MS. PANIZ BARZEGARI SISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
918 SE 164TH AVE STE 200, VANCOUVER, WA 98683-9603
(360) 260-1005
Mailing address
3223 176TH PL SE, BOTHELL, WA 98012-7480
(425) 635-8062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DENT.DE.70008791
WA
Other
Enumeration date
05/07/2025
Last updated
07/16/2025
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