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1528649548
MICHELANGELO VILLANUEVA ASCALON
TACOMA, WA
NPI
1528649548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
Enumeration Date
2021-04-20
Last Update Date
2021-04-20
Business Address
MICHELANGELO VILLANUEVA ASCALON RDH
9124 MILL PARK AVE
TACOMA, WA 98433-2301
Phone number: 714-267-9494
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Mailing Address
MICHELANGELO VILLANUEVA ASCALON RDH
9900 LINCOLN BLVD 2ND FLOOR
TACOMA, WA 98431-0001
Phone number:
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