Organization
ALI NASSIRI PLLC
Active
Other names
Rainier Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ALIREZA SADRE-NASSIRI (OWNER)
(425) 466-0595
Entity
Organization
Contact information
Practice address
6003 100TH ST SW, LAKEWOOD, WA 98499-2733
(425) 466-0595
Mailing address
105 ERIE ST UNIT 1, JERSEY CITY, NJ 07302-2005
(425) 466-0595
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
09/13/2022
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