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1487866612
BRETT ANDREW WALLEN
FEDERAL WAY, WA
NPI
1487866612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00009167)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Dr. BRETT ANDREW WALLEN DDS
118 SW 330TH ST STE 103
FEDERAL WAY, WA 98023-6185
Phone number: 253-835-2296
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Mailing Address
Dr. BRETT ANDREW WALLEN DDS
118 SW 330TH ST STE 103
FEDERAL WAY, WA 98023-6185
Phone number: 253-835-2296
Copy
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