JUSTIN WAYNE FILLMORE

YAKIMA, WA
NPI1053651893
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: WA  60299331)
Enumeration Date2013-02-14
Last Update Date2013-02-14
Business Address
-- JUSTIN WAYNE FILLMORE DDS
2205 W LINCOLN AVE
YAKIMA, WA 98902-2437
Phone number: 509-575-3399
Mailing Address
-- JUSTIN WAYNE FILLMORE DDS
210 S 66TH AVE # 2
YAKIMA, WA 98908-1722
Phone number: 801-448-4283
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