Individual
JORDAN JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8915 14TH AVE S, SEATTLE, WA 98108-4813
(206) 762-3263
(206) 763-6574
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 762-3263
(206) 763-6574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60406335
WA
Other
Enumeration date
06/21/2013
Last updated
07/17/2014
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