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Organization

JON L. WAY DDS, MS, PLLC

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Organization

JON L. WAY DDS, MS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JON L WAY DDS, MS, PLLC (DR.)
(360) 424-3811
Entity
Organization

Contact information

Practice address
2210 KULSHAN VIEW DR, MOUNT VERNON, WA 98273-2779
(360) 424-3811
(360) 424-8703
Mailing address
2210 KULSHAN VIEW DR, MOUNT VERNON, WA 98273-2779
(360) 424-3811
(360) 424-8703

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6239
WA

Other

Enumeration date
04/12/2012
Last updated
04/12/2012
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