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1316491244
GREGORY B MORTENSEN DDS
BELLEVUE, WA
NPI
1316491244
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Entity Type
Organization
Authorized Contact
GREGORY MORTENSEN
Dentist
425-644-2205
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
(Licence: WA 4778)
Enumeration Date
2016-08-09
Last Update Date
2016-08-09
Business Address
GREGORY B MORTENSEN DDS
14645 BEL RED RD STE 100
BELLEVUE, WA 98007-3929
Phone number: 425-644-2205
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Mailing Address
GREGORY B MORTENSEN DDS
14645 BEL RED RD STE 100
BELLEVUE, WA 98007-3929
Phone number: 425-644-2205
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