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1134757487
MICAH BOVENKAMP
SEATTLE, WA
NPI
1134757487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: WA DR61043609)
Enumeration Date
2020-03-31
Last Update Date
2020-03-31
Business Address
Dr. MICAH BOVENKAMP DDS
6222 NE 74TH ST
SEATTLE, WA 98115-8158
Phone number: 206-543-5800
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Mailing Address
Dr. MICAH BOVENKAMP DDS
6222 NE 74TH ST # 354915
SEATTLE, WA 98115-8158
Phone number: 206-543-7906
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