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1801394846
IAN ROTHBAUER
LAKEWOOD, WA
NPI
1801394846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA de60663020)
Enumeration Date
2018-01-24
Last Update Date
2018-01-24
Business Address
Dr. IAN ROTHBAUER DMD
12502 VERNON AVE SW
LAKEWOOD, WA 98498-2559
Phone number: 253-582-9010
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Mailing Address
Dr. IAN ROTHBAUER DMD
12502 VERNON AVE SW
LAKEWOOD, WA 98498-2559
Phone number: 253-582-9010
Copy
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