MAHTAB MANSOUR

OLYMPIA, WA
NPI1528739968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WA  61198534)
Enumeration Date2021-09-24
Last Update Date2021-09-24
Business Address
MAHTAB MANSOUR de 61198534
4210 MARTIN WAY E STE 101
OLYMPIA, WA 98516-5325
Phone number: 360-455-9544
Mailing Address
MAHTAB MANSOUR de 61198534
4210 MARTIN WAY E STE 101
OLYMPIA, WA 98516-5325
Phone number: 360-455-9544
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