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Individual

DR. LOREN BRANTLEY DAVIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S, F.A.G.D.

Contact information

Practice address
4540 SAND POINT WAY NE, #340, SEATTLE, WA 98105-3941
(206) 985-0232
Mailing address
4540 SAND POINT WAY NE, #340, SEATTLE, WA 98105-3941
(206) 985-0232

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6044
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5028360
WA
Enumeration date
11/16/2005
Last updated
07/08/2007
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