| Jonathan B Fisher, Dds,pllc | |
|
1205 Se Professional Mall Blvd Suite 201 Pullman WA 99163-5423 | |
| (509) 332-2366 | |
| Not Available |
| Full Name | Jonathan B Fisher, Dds,pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1205 Se Professional Mall Blvd, Pullman, Washington |
| Authorized Official Name and Position | Jonathan Bernard Fisher (MEMBER) |
| Authorized Official Contact | 5093322366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan B Fisher, Dds,pllc 1205 Se Professional Mall Blvd Suite 201 Pullman WA 99163-5423 Ph: (509) 332-2366 | Jonathan B Fisher, Dds,pllc 1205 Se Professional Mall Blvd Suite 201 Pullman WA 99163-5423 Ph: (509) 332-2366 |
| NPI Number | 1518272418 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 08/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518272418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60146968 (Washington) | Primary |
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