Individual
DR. JORDAN C WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD.
Contact information
Practice address
4801 S 19TH ST, TACOMA, WA 98405-1166
(253) 473-0101
(253) 473-6328
Mailing address
4801 S 19TH ST, TACOMA, WA 98405-1166
(253) 473-0101
(253) 473-6328
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE60304405
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004011136
—
CT
Enumeration date
05/29/2008
Last updated
07/21/2022
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