Individual
JUSTIN D. SJULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12002 PACIFIC AVE S, TACOMA, WA 98444-5117
(253) 531-5700
Mailing address
12002 PACIFIC AVE S, TACOMA, WA 98444-5117
(253) 531-5700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6255
WI
122300000X
Dentist
Primary
DE60440593
WA
Other
Enumeration date
06/13/2008
Last updated
06/25/2014
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