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1285794917
MICHAEL BACON
EVERETT, WA
NPI
1285794917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: WA DE00004046)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
MICHAEL BACON DDS
8933 MARKET PL STE. A
EVERETT, WA 98205-4909
Phone number: 425-334-5085
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Mailing Address
MICHAEL BACON DDS
8933 MARKET PL. STE. A
EVERETT, WA 98205
Phone number: 425-334-5085
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