Individual
JONATHAN C SHIREY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1012 S 40TH AVE, YAKIMA, WA 98908-3804
(509) 966-9253
(509) 966-6595
Mailing address
1012 S 40TH AVE, YAKIMA, WA 98908-3804
(509) 966-9253
(509) 966-6595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0003604
WA
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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