Individual
MRS. DAWN MARIE DIVANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7500 OLD MILITARY RD NE, SUITE 201, BREMERTON, WA 98311-3241
(360) 692-4705
(360) 692-4846
Mailing address
768 NE ELLINOR WAY, POULSBO, WA 98370-8027
(360) 779-5473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010155
WA
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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