DR. Shannon S Farazi, D.M.D.
NPI #1326474693 in Puyallup, Washington
Provider Information
- NPI Number
- 1326474693
- Entity Type
- Individual
- Name
- DR. Shannon S Farazi, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Sep 18, 2013
- Last Updated
- Apr 19, 2017
Practice Location
- Address
- 10217 125TH STREET CT E
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98374-2761
- Phone
- (253) 864-4760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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