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1326122003
BRUCE PETERSON HAWLEY
LYNNWOOD, WA
NPI
1326122003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: WA DE00004728)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
DR. BRUCE PETERSON HAWLEY D.D.S.
4215 198TH ST SW #204
LYNNWOOD, WA 98036-6738
Phone number: 425-775-9431
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Mailing Address
DR. BRUCE PETERSON HAWLEY D.D.S.
4215 198TH ST SW #204
LYNNWOOD, WA 98036-6738
Phone number: 425-775-9431
Copy
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