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Individual

MR. MICHAEL CURTIS TALBOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LDN

Contact information

Practice address
303 E D ST, SUITE 3, YAKIMA, WA 98901-2300
(509) 248-0992
(509) 575-8577
Mailing address
303 E D ST, SUITE 3, YAKIMA, WA 98901-2300
(509) 248-0992
(509) 575-8577

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN370
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5053228
DSHS
WA
Enumeration date
07/19/2007
Last updated
07/19/2007
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