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Individual
DR. DAVID K PACKARD
Active
Individual
DR. DAVID K PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7692
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112287
LABOR & INDUSTRIES
WA
01
—
481926
UNITED CONCORDIA
WA
05
—
5023478
—
WA
01
—
7692
STATE LICENSE
WA
01
—
8923148
CRIME VICTIMS
WA
01
—
92560941
TPIN
WA
Enumeration date
10/10/2006
Last updated
03/07/2023
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