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1629171889
BRUCE WILLIS
YAKIMA, WA
NPI
1629171889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA DE00004817)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
-- BRUCE WILLIS DDS, MS
1107 SUMMITVIEW AVE
YAKIMA, WA 98902-3024
Phone number: 509-248-5181
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Mailing Address
-- BRUCE WILLIS DDS, MS
1107 SUMMITVIEW AVE
YAKIMA, WA 98902-3024
Phone number:
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