Individual
INGRID R. JANSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3701 ENSIGN RD NE, SUITE A, OLYMPIA, WA 98506-5039
(360) 438-2735
(360) 528-2278
Mailing address
3701 ENSIGN RD NE, SUITE A, OLYMPIA, WA 98506-5039
(360) 438-2735
(360) 528-2278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007886
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE00007886
STATE LICENSE NUMBER
WA
Enumeration date
10/23/2006
Last updated
05/19/2022
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