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1891875514
REX DATOR DE ASIS
LACEY, WA
NPI
1891875514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE00008248)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Dr. REX DATOR DE ASIS DMD
5720 RUDDELL RD SE # UNIT B
LACEY, WA 98503
Phone number: 360-438-0805
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Mailing Address
Dr. REX DATOR DE ASIS DMD
5720 RUDDELL RD SE # UNIT B
LACEY, WA 98503
Phone number: 360-438-0805
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