SIMRAH AJMAL
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1174303598- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3708 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA, 984664419
- Phone
- (253) 215-1107
Specialties & Taxonomies
Dentist
Primary License: WA #70127926