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Individual

DR. BRETT G BENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
10330 MERIDIAN AVE N, SUITE 370, SEATTLE, WA 98133-9451
(206) 528-6000
(206) 528-0014
Mailing address
PO BOX 6989, MAIL STOP 18913, PORTLAND, OR 97228-6989
(206) 858-7000
(206) 858-7050

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001584
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116075
L & I
WA
05
2001337
WA
Enumeration date
07/19/2005
Last updated
02/29/2016
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