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Individual

DR. BRADLEY JONNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
19718 68TH AVE W STE F, LYNNWOOD, WA 98036-5965
(425) 778-2126
Mailing address
19718 68TH AVE W STE F, LYNNWOOD, WA 98036-5965
(425) 778-2126

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1014
FL
122300000X
Dentist
Primary
DE60292953
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE60292953
LICENSE #
WA
Enumeration date
07/11/2011
Last updated
10/04/2019
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