Individual
DR. JESSICA LEIGH PASONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2609 DEVELOPMENT DR, GREEN BAY, WI 54311
(920) 499-7933
Mailing address
379 CLERMONT CT, DE PERE, WI 54115-4075
(952) 457-9045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7280-15
WI
Other
Enumeration date
05/07/2014
Last updated
08/19/2019
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