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1720507668
QING WAN
RENTON, WA
NPI
1720507668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA DE60770716)
Enumeration Date
2017-09-12
Last Update Date
2022-06-23
Business Address
Dr. QING WAN DDS, MS
1620 DUVALL AVE NE STE B
RENTON, WA 98059-3975
Phone number: 425-235-4830
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Mailing Address
Dr. QING WAN DDS, MS
1620 DUVALL AVE NE STE B
RENTON, WA 98059-3975
Phone number: 425-235-4830
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