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Organization
JSPAXON DENTAL MANAGEMENT, LLC
Active
Organization
JSPAXON DENTAL MANAGEMENT, LLC
Active
Other names
McKees Rocks Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FEDERER (OWNER)
(727) 463-8284
Entity
Organization
Contact information
Practice address
757 CHARTIERS AVE, MC KEES ROCKS, PA 15136-3622
(412) 331-4629
Mailing address
757 CHARTIERS AVE, MC KEES ROCKS, PA 15136-3622
(412) 331-4629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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