JAY M WYLAM

SALEM, OR
NPI1699773770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: OR  6637)
Enumeration Date2005-07-12
Last Update Date2007-07-08
Business Address
Dr. JAY M WYLAM DMD
2605 12TH PL SE
SALEM, OR 97302-2576
Phone number: 503-585-4281
Mailing Address
Dr. JAY M WYLAM DMD
2605 12TH PL SE
SALEM, OR 97302-2576
Phone number: 503-585-4281