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General NPI Number Information
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NPI Number | 1992979280
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Entity Type | Organization
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Legal Business Name | BRIAN J. DILLON, D.D.S., P.L.L.C.
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 8301 161ST AVE NE STE 305 SUITE 305
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City | REDMOND
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State | WA
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Zip | 98052-3858
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Country | US
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Telephone | 425-885-5529
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Fax |
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Provider Business Mailing Address
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Address Line | 8301 161ST AVE. N.E. SUITE 305
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City | REDMOND
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State | WA
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Zip | 98052
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Country | US
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Telephone | 425-885-5529
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN JOSEPH DILLON
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Credential | D.D.S.
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Telephone | 425-885-5529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 7260
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License Number State | WA
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