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Individual

DR. JARED HELAMAN CONDIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1725 E LINCOLN AVE, SUNNYSIDE, WA 98944-2478
(509) 837-7933
Mailing address
1313 APPLE LN, SUNNYSIDE, WA 98944-2532
(509) 837-7933

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30-022443
OH
1223G0001X
General Practice Dentistry
50 053586
NY
1223G0001X
General Practice Dentistry
7654243
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60147522
WA

Other

Enumeration date
03/30/2007
Last updated
02/22/2012
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