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1407950595
DALE LAWRENCE PETRICH
TUKWILA, WA
NPI
1407950595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE00004785)
Enumeration Date
2006-09-11
Last Update Date
2007-07-08
Business Address
Mr. DALE LAWRENCE PETRICH DDS
6720 FORT DENT WAY SUITE #210
TUKWILA, WA 98188
Phone number: 206-433-5595
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Mailing Address
Mr. DALE LAWRENCE PETRICH DDS
6720 FORT DENT WAY SUITE #210
TUKWILA, WA 98188
Phone number: 206-433-5595
Copy
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