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Individual

DR. JODI J JASIONOWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
5 E AMHERST RD, BALA CYNWYD, PA 19004-2206
(215) 901-4450
Mailing address
5 E AMHERST RD, BALA CYNWYD, PA 19004-2206
(215) 901-4450

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035159
PA

Other

Enumeration date
02/03/2009
Last updated
02/03/2009
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