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1568546778
KIM E. LARSON
PUYALLUP, WA
NPI
1568546778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: WA 5944)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
-- KIM E. LARSON DDS
4104 10TH ST SE
PUYALLUP, WA 98374-2190
Phone number: 253-841-1943
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Mailing Address
-- KIM E. LARSON DDS
4104 10TH STREET SE
PUYALLUP, WA 98374-2190
Phone number: 253-841-1943
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