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1730222357
MARK D NORDLIE
FEDERAL WAY, WA
NPI
1730222357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 6490)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
-- MARK D NORDLIE DDS
32020 1ST AVE S #117
FEDERAL WAY, WA 98003-5717
Phone number: 253-838-6314
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Mailing Address
-- MARK D NORDLIE DDS
32020 1ST AVE S #117
FEDERAL WAY, WA 98003-5717
Phone number: 253-838-6314
Copy
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