Individual
TIMOTHEE SOUQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3402 S 18TH ST, TACOMA, WA 98405
(253) 471-2655
Mailing address
1929 4TH ST, KIRKLAND, WA 98033
(206) 795-3615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60577336
WA
Other
Enumeration date
04/06/2014
Last updated
08/05/2015
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