Individual
JONATHAN DEAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
16008 MERIDIAN E, PUYALLUP, WA 98375-9605
(253) 864-7645
Mailing address
16510 135TH AVENUE CT E, PUYALLUP, WA 98374-9101
(253) 347-9495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60098395
WA
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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