Individual
DR. JASON WIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
16150 NE 85TH ST, SUITE 115, REDMOND, WA 98052-3539
(425) 882-1354
Mailing address
16150 NE 85TH ST, SUITE 115, REDMOND, WA 98052-3539
(425) 882-1354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60300519
WA
Other
Enumeration date
07/08/2012
Last updated
07/08/2012
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