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Individual
JASON MAH
Active
Individual
JASON MAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60958190
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/19/2018
Last updated
07/03/2019
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