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Organization
DODOBARAS,D.D.S.,P.S.
Active
Organization
DODOBARAS,D.D.S.,P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWNA MARIE CAREY (OFFICE MANAGER)
(253) 838-9996
Entity
Organization
Contact information
Practice address
33515 10TH PL S STE 12, FEDERAL WAY, WA 98003-7300
(253) 838-9996
(253) 815-9462
Mailing address
33515 10TH PL. S. SUITE #12, FEDERAL WAY, WA 98003
(253) 838-9996
(253) 815-9462
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00003460
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5044129
—
WA
05
—
5308804
—
WA
Enumeration date
05/27/2010
Last updated
05/27/2010
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