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Individual
JASON THOMPSON
Active
Individual
JASON THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS039318
PA
1223E0200X
Endodontics
Primary
29626
TX
1223E0200X
Endodontics
30.026782
OH
Other
Enumeration date
10/10/2012
Last updated
06/03/2022
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