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Individual

MARK SIMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.,M.S.D.

Contact information

Practice address
721 N 182ND ST STE 303, SHORELINE, WA 98133-4400
(206) 542-7575
(206) 542-5552
Mailing address
721 N 182ND ST STE 303, SHORELINE, WA 98133-4400
(206) 542-7575
(206) 542-5552

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3888
WA

Other

Enumeration date
10/29/2008
Last updated
11/04/2008
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