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Individual

DR. SETH P EDVALSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1950 KEENE RD BLDG C, RICHLAND, WA 99352-7752
(509) 628-8882
Mailing address
1950 KEENE RD BLDG C, RICHLAND, WA 99352-7752
(509) 628-8882

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010616
WA

Other

Enumeration date
12/09/2008
Last updated
01/17/2011
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