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Jason Sholly
NPI 1144715293 · on the registry since 2018
Practice
- Address
- 909 Sleater Kinney Rd Se Ste 3
Lacey, WA 98503 - Phone
- (360) 491-1414
- Fax
- (360) 628-8015
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington