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1124036686
ETHAN SHAGAR KAUFMAN
LONGVIEW, WA
NPI
1124036686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00008840)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
Dr. ETHAN SHAGAR KAUFMAN DDS
1230 7TH AVE
LONGVIEW, WA 98632-3166
Phone number: 360-575-4801
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Mailing Address
Dr. ETHAN SHAGAR KAUFMAN DDS
1632 24TH AVE
LONGVIEW, WA 98632-3624
Phone number: 360-423-6611
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