JACK MELVIN RICHARD

BATTLE GROUND, WA
NPI1225258726
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  7107)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
Dr. JACK MELVIN RICHARD DDS
15 SW 20TH AVENUE
BATTLE GROUND, WA 98604
Phone number: 360-687-5665
Mailing Address
Dr. JACK MELVIN RICHARD DDS
PO BOX 157 15 SW 20TH AVENUE
BATTLE GROUND, WA 98604-0157
Phone number: 360-687-5665
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