Individual
JON CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 PELLY AVE N, RENTON, WA 98057-5714
(425) 226-3192
(425) 226-9848
Mailing address
115 PELLY AVE N, RENTON, WA 98057-5714
(425) 226-3192
(425) 226-9848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60711516
WA
Other
Enumeration date
03/20/2013
Last updated
06/29/2021
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