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Individual

DR. MICHAEL RICHARD WARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
601 SE 117TH AVE, SUITE 100, VANCOUVER, WA 98683-5297
(360) 260-4172
(360) 260-3955
Mailing address
601 SE 117TH AVE, SUITE 100, VANCOUVER, WA 98683-5297
(360) 260-4172
(360) 260-3955

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7644
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5042494
WA
Enumeration date
04/23/2007
Last updated
10/13/2009
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