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1417309790
KOOROUSH MANSOURZADEH
KENT, WA
NPI
1417309790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA DE60655131)
Enumeration Date
2016-07-11
Last Update Date
2016-07-11
Business Address
-- KOOROUSH MANSOURZADEH D.D.S.
12906 SE KENT KANGLEY RD
KENT, WA 98030-7940
Phone number: 253-361-3015
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Mailing Address
-- KOOROUSH MANSOURZADEH D.D.S.
12906 SE KENT KANGLEY RD
KENT, WA 98030-7940
Phone number:
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