Individual
JOSEPH JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3850 S MERIDIAN STE 5, PUYALLUP, WA 98373-3701
(253) 697-0320
Mailing address
5818 GRAHAM AVE, SUMNER, WA 98390-2841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61365953
WA
Other
Enumeration date
03/01/2020
Last updated
02/22/2023
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