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1205161825
SCOTT WALETZKO
OAK HARBOR, WA
NPI
1205161825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE 60045256)
Enumeration Date
2009-10-15
Last Update Date
2016-09-30
Business Address
-- SCOTT WALETZKO
275 SE CABOT DR SUITE B-204
OAK HARBOR, WA 98277-3715
Phone number: 360-675-2284
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Mailing Address
-- SCOTT WALETZKO
28360 23RD AVE S
FEDERAL WAY, WA 98003-2967
Phone number:
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