Organization
IMPLANT & PERIODONTAL ASSOCIATES NW DR JON TARLETON DDS MSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON TARLETON DDS MSD (OWNER)
(425) 486-9111
Entity
Organization
Contact information
Practice address
5723 NE BOTHELL WAY, SUITE D, KENMORE, WA 98028
(425) 486-9111
(425) 489-1923
Mailing address
5723 NE BOTHELL WAY, SUITE D, KENMORE, WA 98028
(425) 486-9111
(425) 489-1923
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE60455178
WA
Other
Enumeration date
08/15/2016
Last updated
05/13/2019
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