Individual
DR. GEOFFREY ANDREW WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6607 WEST CANAL DR., KENNEWICK, WA 99336-5077
(330) 884-3058
(330) 884-5788
Mailing address
10495 NE 4TH ST., APT N244, BELLEVUE, WA 98004-2305
(330) 402-7891
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE6077598
WA
Other
Enumeration date
03/11/2008
Last updated
07/13/2009
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