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1407978281
KRISTINE LAZAR GRACE
PUYALLUP, WA
NPI
1407978281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WA DE00008652)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
Dr. KRISTINE LAZAR GRACE DDS, MS
11201 88TH AVE E #110
PUYALLUP, WA 98373-3802
Phone number: 253-445-0022
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Mailing Address
Dr. KRISTINE LAZAR GRACE DDS, MS
11201 88TH AVE E #110
PUYALLUP, WA 98373-3802
Phone number: 253-445-0022
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