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1003151606
PAVINEE CHOTIWANNAPORN
BOTHELL, WA
NPI
1003151606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: WA DE60260314)
Enumeration Date
2012-12-07
Last Update Date
2014-06-20
Business Address
-- PAVINEE CHOTIWANNAPORN
20225 BOTHELL EVERETT HWY, UNIT 622
BOTHELL, WA 98012
Phone number: 317-522-6723
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Mailing Address
-- PAVINEE CHOTIWANNAPORN
20225 BOTHELL EVERETT HWY, UNIT 622
BOTHELL, WA 98012
Phone number: 317-522-6723
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