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1821074527
GARY A WALL
EVERETT, WA
NPI
1821074527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA 08241)
Enumeration Date
2005-12-15
Last Update Date
2007-07-08
Business Address
Dr. GARY A WALL D.D.S.
10627 19TH AVE SE
EVERETT, WA 98208-5147
Phone number: 425-337-6553
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Mailing Address
Dr. GARY A WALL D.D.S.
10627 19TH AVE SE
EVERETT, WA 98208-5147
Phone number: 425-337-6553
Copy
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