Individual
JONAS DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4915 25TH AVE NE STE 205, SEATTLE, WA 98105-5668
(206) 524-1600
(206) 524-1603
Mailing address
2613 3RD AVE S, MINNEAPOLIS, MN 55408-1730
(218) 820-1263
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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