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Individual

DR. JASON LEE EHLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
108 W 4TH ST, DELL RAPIDS, SD 57022-1508
(604) 428-5471
(605) 428-4804
Mailing address
108 W 4TH ST, DELL RAPIDS, SD 57022-1508
(604) 428-5471
(605) 428-4804

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M934
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7801660
SD
Enumeration date
01/22/2007
Last updated
07/08/2007
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