THERON ANGUS MANSON

KIRKLAND, WA
NPI1073683074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  9434)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: WA  DE00009434)
Enumeration Date2006-11-08
Last Update Date2012-10-09
Business Address
-- THERON ANGUS MANSON DDS
9750 NE 120TH PL #8
KIRKLAND, WA 98034-4207
Phone number: 425-823-1909
Mailing Address
-- THERON ANGUS MANSON DDS
9750 NE 120TH PL #8
KIRKLAND, WA 98034-4207
Phone number: 425-823-1909