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Search › Washington › Pediatric Dentistry

Shahram Fazilat, D.D.S

NPI 1437347457 · on the registry since 2007 · sole proprietor

Practice

Address
1307 Ne 78th St
Suite B13
Vancouver, WA 98665
Phone
(360) 574-0900
Fax
(360) 574-6338
Organisation at this address
Urgent Dental Care Llc
Nw Injury & Rehab Center, P.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-10-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington