TERRY R WALLEN

FEDERAL WAY, WA
NPI1891029849
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: WA  4272)
Enumeration Date2009-09-23
Last Update Date2009-09-23
Business Address
DR. TERRY R WALLEN DDS
118 SW 330TH ST STE 200
FEDERAL WAY, WA 98023-6185
Phone number: 253-838-0765
Mailing 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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