TAE OH

LYNNWOOD, WA
NPI1134147135
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  8881)
Enumeration Date2006-07-17
Last Update Date2011-07-06
Business Address
-- TAE OH DDS
5108 196TH ST SW #202
LYNNWOOD, WA 98036-6152
Phone number: 425-778-3636
Mailing Address
-- TAE OH DDS
5108 196TH ST SW #202
LYNNWOOD, WA 98036-6152
Phone number: 425-778-3636
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