PERRY BALCOM

ISSAQUAH, WA
NPI1255678819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122400000X Denturist
(Licence: WA  dn 60188130)
Enumeration Date2013-01-15
Last Update Date2013-01-15
Business Address
Mr. PERRY BALCOM
22510 SE 64TH PL STE 110
ISSAQUAH, WA 98027-5389
Phone number: 406-471-1055
Mailing Address
Mr. PERRY BALCOM
22510 SE 64TH PL STE 110
ISSAQUAH, WA 98027-5389
Phone number: 406-471-1055