Kooroush Mansourzadeh is a Kent, Washington based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kooroush Mansourzadeh is
DE60655131 for Dentistry in Washington. His current practice location is
12906 Se Kent Kangley Rd, Kent. Patients can reach him at
253-361-3015.
Kooroush Mansourzadeh is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kooroush Mansourzadeh speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kooroush Mansourzadeh |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 12906 Se Kent Kangley Rd, Kent,
Washington, 98030-7940 |
| Phone: | 253-361-3015 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1417309790 |
| NPI Enumeration Date: | 11 Jul, 2016 |
| NPI Last Update On: | 11 Jul, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kooroush Mansourzadeh are as mentioned below.
| License Number | Specialization | State | Status | |
| DE60655131 | Dentistry | Washington | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12906 Se Kent Kangley Rd,
Kent, Washington |
| Zip: | 98030-7940 |
Patients can reach Kooroush Mansourzadeh at
12906 Se Kent Kangley Rd, Kent, Washington or can
call to book an appointment on 253-361-3015.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.