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ADRIAN HENOCH TOMARERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
626 2ND AVE SOUTH, OKANOGAN, WA 98840-9701
(509) 422-6705
(509) 422-6708
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(509) 422-6705
(509) 422-6708

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009391
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200865
LABOR & INDUSTRIES
WA
Enumeration date
06/27/2006
Last updated
07/08/2007
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