HOMAYOON FOTOVATJAH

RENTON, WA
NPI1730315375
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE00006854)
Enumeration Date2009-06-10
Last Update Date2009-06-10
Business Address
Dr. HOMAYOON FOTOVATJAH DDS
1314 UNION AVE NE #8
RENTON, WA 98059-3959
Phone number: 425-227-9774
Mailing Address
Dr. HOMAYOON FOTOVATJAH DDS
1314 UNION AVE NE #8
RENTON, WA 98059-3959
Phone number: 425-227-9774