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Individual

DR. JASON D BARLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8595 COLLEGE PKWY, SUITE B-5, FORT MYERS, FL 33919-5191
(239) 433-0921
Mailing address
15241 CORTONA WAY, NAPLES, FL 34120-0673
(239) 776-4633

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN15803
FL

Other

Enumeration date
02/05/2007
Last updated
07/08/2007
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