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Individual
DR. JAMES LOREN DIXON SR.
Active
Individual
DR. JAMES LOREN DIXON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4334
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4334
STATE LICENCE
WA
01
—
5338504
DSHS
WA
05
—
8020166
—
WA
Enumeration date
08/04/2006
Last updated
09/27/2013
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