JASON SHOLLY

LACEY, WA
NPI1144715293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  DE6085544)
Enumeration Date2018-06-29
Last Update Date2018-06-29
Business Address
JASON SHOLLY
909 SLEATER KINNEY RD SE STE 3
LACEY, WA 98503-1103
Phone number: 360-491-1414
Mailing Address
JASON SHOLLY
5401 6TH AVE STE 201
TACOMA, WA 98406-2618
Phone number: 253-759-5437