Individual
DR. JAY FREDERIC WORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
304 6TH ST, SUITE 6, COULEE DAM, WA 99116-1335
(509) 633-0700
(509) 633-3063
Mailing address
304 6TH ST, SUITE 6, COULEE DAM, WA 99116-1335
(509) 633-0700
(509) 633-3063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006538
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5012968
—
WA
Enumeration date
04/24/2007
Last updated
07/09/2007
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