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1124506340
MATTHEW DANIEL WAITE
TACOMA, WA
NPI
1124506340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2018017591)
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
Dr. MATTHEW DANIEL WAITE DDS
9119 MIL PARK AVE JOINT BASE LEWIS MCCHORD
TACOMA, WA 98433
Phone number: 253-966-9960
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Mailing Address
Dr. MATTHEW DANIEL WAITE DDS
102 N G ST APT 418
TACOMA, WA 98403-2226
Phone number: 314-956-0528
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