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Organization
PETER FORBER VANDERVEN PLLC
Active
Organization
PETER FORBER VANDERVEN PLLC
Active
Other names
South Sound Oral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA LOUISE HARRELSON (FINANCIAL COORDINATOR)
(253) 874-2583
Entity
Organization
Contact information
Practice address
34709 9TH AVE S, SUITE B-300, FEDERAL WAY, WA 98003-8722
(253) 874-2583
(253) 874-8957
Mailing address
34709 9TH AVE S, SUITE B-300, FEDERAL WAY, WA 98003-8722
(253) 874-2583
(253) 874-8957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
602515196
WA
Other
Enumeration date
05/18/2006
Last updated
03/25/2013
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