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Organization
SEDRO WOOLLEY FAMILY DENTAL CENTER, P.S.
Active
Organization
SEDRO WOOLLEY FAMILY DENTAL CENTER, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANSROLF H GRUENER D.D.S. (OWNER)
(360) 855-0351
Entity
Organization
Contact information
Practice address
830 METCALF ST, SEDRO WOOLLEY, WA 98284-1423
(360) 855-0351
(360) 855-9357
Mailing address
830 METCALF ST, SEDRO WOOLLEY, WA 98284-1423
(360) 855-0351
(360) 855-9357
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
603264506
WA
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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