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1316046857
BRIAN T POVOLNY
TUKWILA, WA
NPI
1316046857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA DE00005752)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
Dr. BRIAN T POVOLNY DDS MSD PhD
411 STRANDER BLVD SUITE 104
TUKWILA, WA 98188
Phone number: 206-575-1515
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Mailing Address
Dr. BRIAN T POVOLNY DDS MSD PhD
411 STRANDER BLVD SUITE 104
TUKWILA, WA 98188
Phone number: 206-575-1515
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