Individual
JOSEPH MADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10217 123RD STREET CT E, PUYALLUP, WA 98374-2603
(503) 442-0042
Mailing address
12718 116TH AVENUE CT E, PUYALLUP, WA 98374-4066
(503) 442-0042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 60235703
WA
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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