Organization · Type 2 NPI
Roozbeh Khosravi
Dental Clinic/Center · Tacoma, WA
NPI number
1538545637
Active
Practice location
3555 Mckinley Ave
Tacoma, WA 98404-2162
Mailing address
5101 NE 55th St, 304
Seattle, WA 98105-2868
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DE60504324 (WA) |
Dental Clinic/Center: Definition to come...
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About NPI 1538545637
Roozbeh Khosravi's National Provider Identifier is 1538545637, issued on Jul 31, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tacoma, WA. The record was last updated on Jul 31, 2015.