Individual
BRIAN SHAWN JONASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
108 22ND AVE SW STE 16, OLYMPIA, WA 98501
(253) 347-9917
Mailing address
5401 6TH AVE STE 201, TACOMA, WA 98406
(253) 347-9917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00008952
WA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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