Individual
DR. REZA NAVABI SHIRAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
11065 PACIFIC CREST PL NW STE B105, SILVERDALE, WA 98383-6607
(360) 261-6154
Mailing address
606 BURWELL ST APT 110, BREMERTON, WA 98337-1470
(305) 600-7335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60792614
WA
1223G0001X
General Practice Dentistry
DN22162
FL
Other
Enumeration date
08/28/2016
Last updated
11/01/2017
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