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1891029849
TERRY R WALLEN
FEDERAL WAY, WA
NPI
1891029849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA 4272)
Enumeration Date
2009-09-23
Last Update Date
2009-09-23
Business Address
Dr. TERRY R WALLEN DDS
118 SW 330TH ST STE 200
FEDERAL WAY, WA 98023-6185
Phone number: 253-838-0765
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Mailing Address
Dr. TERRY R WALLEN DDS
118 SW 330TH ST STE 200
FEDERAL WAY, WA 98023-6185
Phone number: 253-838-0765
Copy
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