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Individual

SHERMAN ELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
410 BELLEVUE WAY SE STE 102, BELLEVUE, WA 98004-6649
(425) 454-3833
(425) 635-9312
Mailing address
410 BELLEVUE WAY SE STE 102, BELLEVUE, WA 98004-6649
(425) 454-3833
(425) 635-9312

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4206
WA

Other

Enumeration date
12/13/2006
Last updated
07/08/2007
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