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1508936766
NEAL BRADLEY WANNER
KENT, WA
NPI
1508936766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA 251-030005883)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
-- NEAL BRADLEY WANNER DDS
120 STATE AVE N
KENT, WA 98030-4554
Phone number: 253-852-3929
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Mailing Address
-- NEAL BRADLEY WANNER DDS
120 STATE AVE N
KENT, WA 98030-4554
Phone number: 253-630-4542
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