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1104849900
KAM DERAKSHANI
BELLEVUE, WA
NPI
1104849900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE7712)
Enumeration Date
2006-07-25
Last Update Date
2009-04-15
Business Address
Dr. KAM DERAKSHANI DDS
1551 116TH AVE. NE #B-1
BELLEVUE, WA 98004
Phone number: 425-373-1605
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Mailing Address
Dr. KAM DERAKSHANI DDS
1551 116TH AVE NE STE B1
BELLEVUE, WA 98004-3814
Phone number: 425-373-1605
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