Individual
MR. DALE LAWRENCE PETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6720 FORT DENT WAY, SUITE #210, TUKWILA, WA 98188
(206) 433-5595
(206) 433-0537
Mailing address
6720 FORT DENT WAY, SUITE #210, TUKWILA, WA 98188
(206) 433-5595
(206) 433-0537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00004785
WA
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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