Individual
DR. JAY MICHAEL SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8700 NE VANCOUVER MALL DR, SUITE 202A, VANCOUVER, WA 98662-6750
(360) 219-9616
Mailing address
2404 COLUMBIA HOUSE BLVD, VANCOUVER, WA 98661-7777
(360) 746-3889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9879
OR
122300000X
Dentist
Primary
DE60465783
WA
Other
Enumeration date
06/27/2013
Last updated
11/24/2015
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