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Individual

DR. PETER FORBER VANDERVEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PLLC

Contact information

Practice address
34709 9TH AVE S, SUITE B-300, FEDERAL WAY, WA 98003-8722
(253) 874-2583
(253) 874-8957
Mailing address
34709 9TH AVE S, SUITE B-300, FEDERAL WAY, WA 98003-8722
(253) 874-2583
(253) 874-8957

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DE00006346
WA

Other

Enumeration date
05/18/2006
Last updated
03/14/2013
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