RAYMOND A WALLER

CLARKSTON, WA
NPI1922176528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE00007388)
Enumeration Date2006-12-01
Last Update Date2007-07-08
Business Address
-- RAYMOND A WALLER DDS
1303 16TH AVE
CLARKSTON, WA 99403-2956
Phone number: 509-758-7150
Mailing Address
-- RAYMOND A WALLER DDS
1303 16TH AVE
CLARKSTON, WA 99403-2956
Phone number: 509-758-7150
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