Mahmoud Maghsoudlou LLC
NPI #1265848014 in Walla Walla, Washington
Provider Information
- NPI Number
- 1265848014
- Entity Type
- Organization
- Organization Name
- Mahmoud Maghsoudlou LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 1, 2014
- Last Updated
- Jul 1, 2014
Practice Location
- Address
- 1648 PLAZA WAY
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-4325
- Phone
- (509) 522-2220
Authorized Official
- Name
- MANOLO CARRILLO
- Title
- MANAGER
- Phone
- (509) 522-2220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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