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Organization
CURTIS K. WADE, DDS,PS
Active
Organization
CURTIS K. WADE, DDS,PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLENDA R GUNDERSEN (OFFICE MANAGER)
(360) 757-0201
Entity
Organization
Contact information
Practice address
205 W FAIRHAVEN AVE, SUITE C, BURLINGTON, WA 98233-1062
(360) 757-0201
(360) 757-1990
Mailing address
205 W FAIRHAVEN AVE, SUITE C, BURLINGTON, WA 98233-1062
(360) 757-0201
(360) 757-1990
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5108
PERIODONTICS
WA
Enumeration date
09/23/2016
Last updated
09/23/2016
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