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Individual

DAN TENNENBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.,OMD

Contact information

Practice address
14810 LAKE HILLS BLVD # A-2, BELLEVUE, WA 98007-5821
(425) 373-1416
(425) 373-1416
Mailing address
14810 LAKE HILLS BLVD # A-2, BELLEVUE, WA 98007-5821
(425) 373-1416
(425) 373-1416

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 203
WA
171100000X
Acupuncturist
CE 2559
CA

Other

Enumeration date
12/27/2006
Last updated
07/08/2007
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