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1124210505
DEREK J MICHAUD
VANCOUVER, WA
NPI
1124210505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE00011060)
Enumeration Date
2007-08-09
Last Update Date
2021-05-07
Business Address
DEREK J MICHAUD DMD
19120 SE 34TH ST STE 104
VANCOUVER, WA 98683-1435
Phone number: 360-253-3500
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Mailing Address
DEREK J MICHAUD DMD
19120 SE 34TH ST STE 104
VANCOUVER, WA 98683-1435
Phone number: 360-253-3500
Copy
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