Individual
JERALD S PRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1221 MADISON ST STE 1116, SEATTLE, WA 98104-3536
(206) 215-2088
Mailing address
1221 MADISON ST STE 1116, SEATTLE, WA 98104-3536
(206) 215-2088
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00010527
WA
Other
Enumeration date
08/20/2006
Last updated
02/06/2025
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