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1821206061
GIDEON NUSSBAUM
RENTON, WA
NPI
1821206061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 6136)
Enumeration Date
2007-05-20
Last Update Date
2007-07-08
Business Address
Dr. GIDEON NUSSBAUM DDS
607 SW GRADY WAY STE 300
RENTON, WA 98055-2977
Phone number: 425-255-7633
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Mailing Address
Dr. GIDEON NUSSBAUM DDS
607 SW GRADY WAY STE 300
RENTON, WA 98055-2977
Phone number: 425-255-7633
Copy
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