Organization
JON L. WAY DDS, MS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON L WAY DDS, MS, PLLC (DR.)
(360) 424-3811
Entity
Organization
Contact information
Practice address
2210 KULSHAN VIEW DR, MOUNT VERNON, WA 98273-2779
(360) 424-3811
(360) 424-8703
Mailing address
2210 KULSHAN VIEW DR, MOUNT VERNON, WA 98273-2779
(360) 424-3811
(360) 424-8703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6239
WA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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