Individual
DR. JACK RUTLEDGE WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2102 N PEARL STREET, SUITE 206, TACOMA, WA 98406
(253) 756-1600
(253) 756-1668
Mailing address
2102 N PEARL STREET, SUITE 206, TACOMA, WA 98406
(253) 756-1600
(253) 756-1668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006080
WA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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