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Organization
JASON JETER & LAGELLE JETER DDS, INC.
Active
Organization
JASON JETER & LAGELLE JETER DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON L JETER DDS (CO OWNER)
(559) 739-8400
Entity
Organization
Contact information
Practice address
805 W. ACEQUIA AVE, #2B, VISALIA, CA 93291-6164
(559) 739-8400
(559) 739-8333
Mailing address
805 W. ACEQUIA AVE, #2B, VISALIA, CA 93291-6164
(559) 739-8400
(559) 739-8333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
23523
CA
1223G0001X
General Practice Dentistry
Primary
46614
CA
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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