Individual
DR. JONATHAN PERRY ORMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
11208 94TH AVE E, PUYALLUP, WA 98373-3663
(253) 848-3529
(253) 841-1525
Mailing address
11208 94TH AVE E, PUYALLUP, WA 98373-3663
(253) 848-3529
(253) 841-1525
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00009248
WA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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