Individual
MITRA BEHFOROOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 1ST AVE N, SEATTLE, WA 98109-4001
(206) 962-2835
Mailing address
15551 NE TURING ST APT 501, REDMOND, WA 98052-2488
(765) 749-3557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61315296
WA
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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