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1720152960
M JACK WILEY
SEATTLE, WA
NPI
1720152960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 6147)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
-- M JACK WILEY DDS
1700 NW 56TH ST
SEATTLE, WA 98026
Phone number: 206-783-0400
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Mailing Address
-- M JACK WILEY DDS
1700 NW 56TH ST
SEATTLE, WA 98026
Phone number: 206-783-0400
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