Individual
DR. JASON CHRISTOPHER SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2103 NORTH DIVISION ST, JOINT BASE LEWIS-MCCHORD, WA 98433
(253) 967-3416
Mailing address
8101 83RD AVE SW APT C48, LAKEWOOD, WA 98498-6001
(305) 647-9242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60806936
WA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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