Mojgan Ansari
NPI #1689307142 in Puyallup, Washington
Provider Information
- NPI Number
- 1689307142
- Entity Type
- Individual
- Name
- Mojgan Ansari
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 2, 2022
- Last Updated
- Jul 2, 2022
Practice Location
- Address
- 732 SHAW RD STE B
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98372-5278
- Phone
- (253) 267-7112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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