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1982707014
AMANDA LEE TAVOULARIS
LYNNWOOD, WA
NPI
1982707014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA 7460)
Additional Taxonomies
124Q00000X Dental Hygienist
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
Dr. AMANDA LEE TAVOULARIS DDS
19505 76TH AVE W STE 100
LYNNWOOD, WA 98036
Phone number: 425-775-3613
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Mailing Address
Dr. AMANDA LEE TAVOULARIS DDS
19505 76TH AVE W STE 100
LYNNWOOD, WA 98036
Phone number: 425-775-3613
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