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Dental Assistant

Vancouver, Washington

Provider NPI: 1700919990

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
17401 SE 28TH ST  VANCOUVER, WA 98684 US
Tel: 360-448-1680  Fax: --

Business Mailing Address:
17401 SE 28TH ST  VANCOUVER, WA 98683 US
Tel: 360-448-1680  Fax: --

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y126800000XDental Providers
Dental Assistant


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