Individual
DR. BRETT ANDREW WALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
118 SW 330TH ST STE 103, FEDERAL WAY, WA 98023-6185
(253) 835-2296
(253) 835-7103
Mailing address
118 SW 330TH ST STE 103, FEDERAL WAY, WA 98023-6185
(253) 835-2296
(253) 835-7103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009167
WA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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