JERALD S PRUNER

SEATTLE, WA
NPI1134234313
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WA  DE00010527)
Enumeration Date2006-08-20
Last Update Date2007-07-08
Business Address
-- JERALD S PRUNER
1959 NE PACIFIC ST C212, BOX 356340
SEATTLE, WA 98195-6340
Phone number: 206-543-0065
Mailing Address
-- JERALD S PRUNER
1959 NE PACIFIC ST C212, BOX 356340
SEATTLE, WA 98195-6340
Phone number:
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