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1154493724
MARK KENNETH MCDANIELS
RENTON, WA
NPI
1154493724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00006052)
Enumeration Date
2006-11-15
Last Update Date
2016-07-21
Business Address
Dr. MARK KENNETH MCDANIELS DDS
350 S 38TH CT STE 225
RENTON, WA 98055-5775
Phone number: 425-271-1515
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Mailing Address
Dr. MARK KENNETH MCDANIELS DDS
350 S 38TH CT STE 225
RENTON, WA 98055-5775
Phone number: 425-271-1515
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