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1740348705
DALE S BLOOMQUIST
SEATTLE, WA
NPI
1740348705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WA DE00003788)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
Dr. DALE S BLOOMQUIST DDS
1221 MADISON ST #1116
SEATTLE, WA 98104-3588
Phone number: 206-215-2088
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Mailing Address
Dr. DALE S BLOOMQUIST DDS
1221 MADISON ST #1116
SEATTLE, WA 98104-3588
Phone number: 206-215-2088
Copy
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