Organization
JASON M. ROUSH D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON M. ROUSH D.D.S. (PRESIDENT)
(304) 420-9022
Entity
Organization
Contact information
Practice address
1401 BLIZZARD DR, PARKERSBURG, WV 26101-6422
(304) 420-0922
(304) 420-0924
Mailing address
1401 BLIZZARD DR, PARKERSBURG, WV 26101-6422
(304) 420-0922
(304) 420-0924
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3396
WV
Other
Enumeration date
07/24/2006
Last updated
12/02/2008
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