Individual provider · Type 1 NPI

Sogol Seghatoleslami, DDS. MS

Orthodontics and Dentofacial Orthopedics Dentistry · Kennewick, WA

NPI number 1033873203 Active

Practice location

8305 W Quinault Ave
Kennewick, WA 99336-1138

Mailing address

725 N Center Pkwy Apt F201
Kennewick, WA 99336-8224

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDE61187204 (WA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1033873203

Sogol Seghatoleslami, DDS. MS's National Provider Identifier is 1033873203, issued on Oct 25, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Kennewick, WA. The record was last updated on Oct 30, 2021.