Organization
PAPAYA DENTAL ARTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER IDZIOREK DDS (PRESIDENT)
(651) 964-9702
Entity
Organization
Contact information
Practice address
299 MADISON AVE N, BAINBRIDGE ISLAND, WA 98110-1893
(651) 964-9702
Mailing address
2101 MADRONA POINT DR, BREMERTON, WA 98312-2332
(651) 964-9702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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