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Individual

LOLITA GUEVARRA SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DENTURIST

Contact information

Practice address
9735 S 222ND ST, KENT, WA 98031-2410
(206) 661-0520
Mailing address
9735 S 222ND ST, KENT, WA 98031-2410
(206) 661-0520

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN 60270518
WA

Other

Enumeration date
04/25/2012
Last updated
04/25/2012
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