Individual
NILOUFAR DANESHPARVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2302 S UNION AVE STE C27, TACOMA, WA 98405-1334
(253) 752-6336
Mailing address
2302 S UNION AVE STE C27, TACOMA, WA 98405-1334
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE61194327
WA
Other
Enumeration date
09/13/2021
Last updated
09/23/2021
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