Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KOOROUSH MANSOURZADEH, D.D.S.
Active Sole ProprietorKOOROUSH MANSOURZADEH, D.D.S. is a Dentist healthcare provider located in KENT, Washington. NPI 1417309790 is currently active in the NPPES registry. Verify at CMS.
Dentist · KENT, WA
Registration Details
- NPI Number
- 1417309790
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2016 (10.08896367203 yrs)
- Last Updated
- Jul 11, 2016
- License
-
DE60655131 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12906 SE KENT KANGLEY RDKENT, WA, 980307940Browse WA providers · Browse ZIP 98030
- Phone
- 2533613015
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in KENT, WA
| Name | Credential | NPI |
|---|---|---|
| JULIE I-CHING TSENG | DDS | 1144213844 |
| RUSSELL ARTHUR VINCENT | DDS | 1518950211 |
| LEE ANN T JINGUJI | DDS | 1245223940 |
| DANIEL J KRAUS | DDS | 1255324950 |
| RICHARD HAL FORD | DDS | 1144279647 |
| DR. TIMUR ERNAFASOV | DDS | 1487685376 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.