Organization
JONATHAN B FISHER, DDS,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BERNARD FISHER DDS (MEMBER)
(509) 332-2366
Entity
Organization
Contact information
Practice address
1205 SE PROFESSIONAL MALL BLVD, SUITE 201, PULLMAN, WA 99163-5423
(509) 332-2366
Mailing address
1205 SE PROFESSIONAL MALL BLVD, SUITE 201, PULLMAN, WA 99163-5423
(509) 332-2366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60146968
WA
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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