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Individual

JOHN W RAYMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
600 ORONDO AVE, STE 1, WENATCHEE, WA 98801-2800
(509) 662-6000
(509) 664-4588
Mailing address
313 CANYON PL, WENATCHEE, WA 98801-2474
(509) 663-1738

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005136
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0114095
L&I
WA
05
5023403
WA
Enumeration date
07/10/2006
Last updated
03/07/2023
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