Individual
TANMAY MISHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6200 13TH AVE S, SEATTLE, WA 98108-2706
(206) 461-6943
Mailing address
76 CEDAR ST UNIT 313, SEATTLE, WA 98121-4103
(612) 757-2336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61562632
WA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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