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Individual

MATTHEW J DUBOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
9245 RAINIER AVE S, SEATTLE, WA 98118-5569
(206) 548-5850
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
(206) 548-3114
(206) 962-2342

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60475733
WA
1223G0001X
General Practice Dentistry
DE60475733
WA

Other

Enumeration date
06/25/2014
Last updated
06/25/2024
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