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1720202401
TY WILLIAM ETHERIDGE
SEATTLE, WA
NPI
1720202401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00008770)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Dr. TY WILLIAM ETHERIDGE D.D.S
3130 E MADISON ST SUITE 103
SEATTLE, WA 98112-4264
Phone number: 206-323-0990
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Mailing Address
Dr. TY WILLIAM ETHERIDGE D.D.S
3130 E MADISON ST SUITE 103
SEATTLE, WA 98112-4264
Phone number: 206-323-0990
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