M JACK WILEY

SEATTLE, WA
NPI1720152960
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  6147)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
-- M JACK WILEY DDS
1700 NW 56TH ST
SEATTLE, WA 98026
Phone number: 206-783-0400
Mailing Address
-- M JACK WILEY DDS
1700 NW 56TH ST
SEATTLE, WA 98026
Phone number: 206-783-0400