Individual
BRENT C JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1336 E HUNTER PL, MOSES LAKE, WA 98837-2449
(509) 766-7076
Mailing address
109 ASTRO LN NE, MOSES LAKE, WA 98837-9022
(509) 766-8455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00006476
WA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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