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Individual

DR. JAMES LOREN DIXON SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
221 WINSLOW WAY W #302, BAINBRIDGE ISLAND, WA 98110
(206) 780-6908
Mailing address
221 WINSLOW WAY W #302, BAINBRIDGE ISLAND, WA 98110
(206) 780-6908

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4334
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4334
STATE LICENCE
WA
01
5338504
DSHS
WA
05
8020166
WA
Enumeration date
08/04/2006
Last updated
09/27/2013
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