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1386872141
JONATHAN W. GANTZ
WALLA WALLA, WA
NPI
1386872141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE60093430)
Enumeration Date
2009-06-30
Last Update Date
2009-06-30
Business Address
-- JONATHAN W. GANTZ D.D.S.
2014 S HOWARD ST
WALLA WALLA, WA 99362-4532
Phone number: 509-525-4833
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Mailing Address
-- JONATHAN W. GANTZ D.D.S.
2014 S HOWARD ST
WALLA WALLA, WA 99362-4532
Phone number: 509-525-4833
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