Individual
DR. JESSE J BOYETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PLLC
Contact information
Practice address
1515 N 200TH ST, SHORELINE, WA 98133-3330
(206) 542-2012
Mailing address
1515 N 200TH ST, SHORELINE, WA 98133-3330
(206) 542-2012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007315
WA
Other
Enumeration date
07/21/2006
Last updated
08/16/2007
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