Individual
DR. JARED SCOT HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
733 W. MAIN ST., WAUPUN, WI 53963-1757
(920) 324-4218
(920) 345-1228
Mailing address
733 W. MAIN ST., WAUPUN, WI 53963-1757
(920) 324-4218
(920) 345-1228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6030
WI
1223G0001X
General Practice Dentistry
Primary
6030-015
WI
Other
Enumeration date
08/09/2006
Last updated
04/02/2012
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