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1912311234
THEODORE TAK LEE
BREMERTON, WA
NPI
1912311234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE60477328)
Enumeration Date
2014-06-14
Last Update Date
2014-08-18
Business Address
Dr. THEODORE TAK LEE D.D.S.
616 6TH ST
BREMERTON, WA 98337-1420
Phone number: 360-377-3776
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Mailing Address
Dr. THEODORE TAK LEE D.D.S.
PO BOX 960
BREMERTON, WA 98337-0212
Phone number: 360-377-3776
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