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1578763249
LEROY DIMITRIOS HORTON
TACOMA, WA
NPI
1578763249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00011048)
Enumeration Date
2007-07-20
Last Update Date
2007-10-05
Business Address
Dr. LEROY DIMITRIOS HORTON DDS
1901 S UNION AVE B3008
TACOMA, WA 98405-1702
Phone number: 253-572-9777
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Mailing Address
Dr. LEROY DIMITRIOS HORTON DDS
4810 S ASOTIN ST
TACOMA, WA 98408-4209
Phone number: 253-572-3485
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