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1487674966
FRED C CHITTENDEN
LAKE STEVENS, WA
NPI
1487674966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA 5348)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
Dr. FRED C CHITTENDEN DDS
2012 GRADE RD STE 201
LAKE STEVENS, WA 98258-9135
Phone number: 425-334-1934
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Mailing Address
Dr. FRED C CHITTENDEN DDS
2012 GRADE RD STE 201
LAKE STEVENS, WA 98258-9135
Phone number: 425-334-1934
Copy
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