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Individual

DR. IMRE GYARMATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
9925 214TH AVE E, SUITE A, BONNEY LAKE, WA 98391-3910
(253) 863-4594
(253) 863-5061
Mailing address
9925 214TH AVE E, SUITE A, BONNEY LAKE, WA 98391-3910
(253) 863-4594
(253) 863-5061

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007457
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
911907892
BLDC TAX ID
Enumeration date
12/21/2005
Last updated
01/29/2009
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