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1114120003
DAVID CHARLES GRODEN
SEATTLE, WA
NPI
1114120003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA HL00007817)
Additional Taxonomies
124Q00000X Dental Hygienist
Enumeration Date
2007-06-07
Last Update Date
2007-07-08
Business Address
DAVID CHARLES GRODEN
1519 ALASKAN WAY S
SEATTLE, WA 98134-1102
Phone number: 206-217-6432
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Mailing Address
DAVID CHARLES GRODEN
1519 ALASKAN WAY S
SEATTLE, WA 98134-1102
Phone number: 206-217-6432
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