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1851545347
IVAN PUENTE ROCA
VANCOUVER, WA
NPI
1851545347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: WA RDA)
Enumeration Date
2008-11-10
Last Update Date
2008-11-10
Business Address
IVAN PUENTE ROCA RDA
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-944-2814
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Mailing Address
IVAN PUENTE ROCA RDA
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number:
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