Individual
JARED DOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
620 TRIANGLE SHOPPING CTR STE 660, LONGVIEW, WA 98632-4690
(360) 803-8003
(360) 283-0864
Mailing address
620 TRIANGLE SHOPPING CTR STE 660, LONGVIEW, WA 98632-4690
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00011054
WA
Other
Enumeration date
04/29/2008
Last updated
03/29/2023
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