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Individual

DR. JOHN DANIEL SKIPPER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5720 RUDDELL RD SE STE A&B, LACEY, WA 98503-6401
(360) 438-0805
Mailing address
8012 112TH STREET CT E STE 320, PUYALLUP, WA 98373-7856
(253) 848-2331

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60770848
WA

Other

Enumeration date
10/05/2017
Last updated
03/17/2018
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