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Dr. Shannon S Farazi, DMD
General Practice Dentistry in Puyallup, Washington
NPI 1326474693

Shannon S Farazi is a General Practice Dentistry based in Puyallup, WA and is specialized in General Practice. Shannon S Farazi practices in Puyallup, WA and has the professional credentials of DMD. The NPI Number for Shannon S Farazi is 1326474693 and holds a License No. DE 60391320 (Washington).

The current practice location address for Shannon S Farazi is 10217 125Th Street Ct E, Puyallup, WA and can be reached out via phone at 253-864-4760 and via fax at 253-864-4766.

Location: 10217 125Th Street Ct E, Puyallup, WA, 98374-2761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326474693
Provider Name
Shannon S Farazi
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
10217 125Th Street Ct E, Puyallup, WA, 98374-2761
Phone Number
253-864-4760
Fax Number
253-864-4766
Provider Enumeration Date
09/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10217 125Th Street Ct E
City
Puyallup
State
Washington
Zip
98374-2761
Phone Number
253-864-4760
Fax Number
253-864-4766
person
Provider Business Mailing Address Details
Address
10217 125Th Street Ct E
City
Puyallup
State
Washington
Zip
98374-2761
Phone Number
253-864-4760
Fax Number
253-864-4766
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE 60391320 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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