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1306968003
SAMUEL LYON LAKE
BELLEVUE, WA
NPI
1306968003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA 5283)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
-- SAMUEL LYON LAKE DDS, MSD
14420 BEL RED RD STE 105
BELLEVUE, WA 98007-3930
Phone number: 425-641-4200
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Mailing Address
-- SAMUEL LYON LAKE DDS, MSD
14420 BEL RED RD STE 105
BELLEVUE, WA 98007-3930
Phone number: 425-641-4200
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