Organization
JERALD S. PRUNER, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD SCOTT PRUNER DMD (OWNER/ PRESIDENT)
(206) 215-2088
Entity
Organization
Contact information
Practice address
1221 MADISON ST STE 1116, SEATTLE, WA 98104-3536
(206) 215-2088
Mailing address
1221 MADISON ST STE 1116, SEATTLE, WA 98104-3536
(206) 215-2088
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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