Individual
DR. JARED D PERSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1607 RUDDELL RD SE, LACEY, WA 98503-2757
(360) 459-1600
Mailing address
1607 RUDDELL RD SE, LACEY, WA 98503-2757
(360) 459-1600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011355A
IN
Other
Enumeration date
07/30/2009
Last updated
01/31/2012
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