Individual
MARYAM KEIKHOSRO-KIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10725 SE 256TH ST STE 1, KENT, WA 98030-8285
(602) 551-5626
Mailing address
1415 PIPELINE ROAD, COQUITLAM, BRITISH COLUMBIA V3E 2-X1
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61204490
WA
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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