Individual
DR. RAYMOND E IANNIELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8520 STEILACOOM BLVD SW, STE #202, LAKEWOOD, WA 98498-4773
(253) 584-6200
(253) 984-6424
Mailing address
8520 STEILACOOM BLVD SW, STE #202, LAKEWOOD, WA 98498-4773
(253) 584-6200
(253) 984-6424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60035531
WA
Other
Enumeration date
12/18/2007
Last updated
12/17/2008
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