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Dr. Homayoon Fotovatjah, DDS
General Practice Dentistry in Renton, Washington
NPI 1730315375

Homayoon Fotovatjah is a General Practice Dentistry based in Renton, WA and is specialized in General Practice. Homayoon Fotovatjah practices in Renton, WA and has the professional credentials of DDS. The NPI Number for Homayoon Fotovatjah is 1730315375 and holds a License No. DE00006854 (Washington).

The current practice location address for Homayoon Fotovatjah is 1314 Union Ave Ne, Renton, WA and can be reached out via phone at 425-227-9774.

Location: 1314 Union Ave Ne, Renton, WA, 98059-3959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730315375
Provider Name
Homayoon Fotovatjah
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1314 Union Ave Ne, Renton, WA, 98059-3959
Phone Number
425-227-9774
Fax Number
Provider Enumeration Date
06/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5019823 05 WA
institution
Provider Business Practice Location Address Details
Address
1314 Union Ave Ne
City
Renton
State
Washington
Zip
98059-3959
Phone Number
425-227-9774
Fax Number
person
Provider Business Mailing Address Details
Address
1314 Union Ave Ne
City
Renton
State
Washington
Zip
98059-3959
Phone Number
425-227-9774
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE00006854 (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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