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1821103284
TAD O NEILSON
VANCOUVER, WA
NPI
1821103284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE00008423)
Enumeration Date
2006-08-19
Last Update Date
2007-07-25
Business Address
DR. TAD O NEILSON DDS
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-896-4484
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Mailing Address
DR. TAD O NEILSON DDS
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Phone number: 360-896-4484
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