Jerald S. Pruner, Dmd, Pllc

NPI #1821802000 in Seattle, Washington

Provider Information

NPI Number
1821802000
Entity Type
Organization
Organization Name
Jerald S. Pruner, Dmd, Pllc
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Feb 6, 2025
Last Updated
Feb 6, 2025

Practice Location

Address
1221 MADISON ST STE 1116
ZIP Code
98104-3536
Phone
(206) 215-2088

Authorized Official

Name
JERALD SCOTT PRUNER, DMD
Title
OWNER/ PRESIDENT
Phone
(206) 215-2088

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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