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1972986313
GENNADIY KALVISH
LYNNWOOD, WA
NPI
1972986313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE60572275)
Enumeration Date
2015-07-02
Last Update Date
2015-07-02
Business Address
-- GENNADIY KALVISH D.D.S.
1418 164TH ST SW SUITE 100
LYNNWOOD, WA 98087-8500
Phone number: 425-742-8828
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Mailing Address
-- GENNADIY KALVISH D.D.S.
16027 SE 180TH PL
RENTON, WA 98058-9176
Phone number: 253-632-8963
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