Individual
DR. JASON J JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1075 E 2ND ST, DEFIANCE, OH 43512-2431
(419) 782-1126
(419) 782-8790
Mailing address
1075 E 2ND ST, DEFIANCE, OH 43512-2431
(419) 782-1126
(419) 782-8790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20898
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2263607
—
OH
Enumeration date
01/12/2006
Last updated
04/23/2012
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