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1104996131
SUSAN WILLIS
SEATTLE, WA
NPI
1104996131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00009739)
Enumeration Date
2006-11-08
Last Update Date
2016-01-22
Business Address
-- SUSAN WILLIS DDS
1629 N 45TH ST
SEATTLE, WA 98103-6701
Phone number: 206-633-3350
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Mailing Address
-- SUSAN WILLIS DDS
1200 12TH AVE S SUITE 901
SEATTLE, WA 98144-2712
Phone number: 206-548-3114
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