Individual
DR. JAY W MAGNUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
201 H ST SE, QUINCY, WA 98848-1507
(509) 787-1507
(509) 787-2100
Mailing address
201 H ST SE, QUINCY, WA 98848-1507
(509) 787-1507
(509) 787-2100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3968
WA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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