Individual
DR. JEROMY RYAN DIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8301 NE HAZEL DELL AVE, VANCOUVER, WA 98665-8047
(360) 574-3741
Mailing address
8301 NE HAZEL DELL AVE, VANCOUVER, WA 98665-8047
(360) 574-3741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE0009942
WA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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