Individual
DR. JASON J WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., C.A.G.S.
Contact information
Practice address
4801 S 19TH ST, TACOMA, WA 98405-1166
(253) 473-0101
(253) 473-6328
Mailing address
4801 S 19TH ST, TACOMA, WA 98405-1166
(253) 473-0101
(253) 473-6328
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE00009007
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508933953
NPI
—
Enumeration date
07/30/2009
Last updated
07/30/2009
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