Individual
DR. JAY L ENZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9302 N COLTON ST, SUITE 100, SPOKANE, WA 99218
(509) 863-9460
(509) 868-0428
Mailing address
9302 N COLTON ST, SUITE 100, SPOKANE, WA 99218
(509) 863-9460
(509) 868-0428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8154
WA
1223P0221X
Pediatric Dentistry
8154
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5055645
—
WA
01
—
8154
STATE PROVIDER #
WA
Enumeration date
11/08/2006
Last updated
03/07/2023
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