Individual
JARED LEE GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
HC 61 BOX 303, CAPON BRIDGE, WV 26711-9728
(304) 856-3200
Mailing address
HC 61 BOX 303, CAPON BRIDGE, WV 26711-9728
(304) 856-3200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4103
WV
Other
Enumeration date
05/23/2014
Last updated
06/16/2014
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