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1952475238
LAURIE FAN
RENTON, WA
NPI
1952475238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE00005993)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Dr. LAURIE FAN DDS
10700 SE 174TH ST STE 101
RENTON, WA 98055-5472
Phone number: 206-296-4955
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Mailing Address
Dr. LAURIE FAN DDS
8012 17TH AVE NE
SEATTLE, WA 98115-4420
Phone number: 206-523-6506
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