Ebrahim Mirjalili, DDS

NPI #1679650576 in Buckley, Washington

Provider Information

NPI Number: 1679650576
Entity Type: Individual
Name: Ebrahim Mirjalili, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 1, 2006
Last Updated: Jul 30, 2018

Practice Location

Address: 2120 RYAN RD
City: Buckley
State: Washington
ZIP Code: 98321
Phone: (360) 829-4920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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