Individual
JON L WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS,PLLC
Contact information
Practice address
4500 SAND POINT WAY NE STE 208, SEATTLE, WA 98105-3925
(206) 525-4777
(206) 525-8677
Mailing address
6527 SUNNYSIDE AVE N, SEATTLE, WA 98103-5422
(206) 523-4402
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00006239
WA
Other
Enumeration date
10/25/2006
Last updated
08/13/2015
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