Individual
GARRETT RICHARD JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1204 FOND DU LAC AVE, KEWASKUM, WI 53040-8954
(262) 419-3566
Mailing address
861 NANTUCKET DR, JANESVILLE, WI 53546-1757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001269-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2023
Last updated
07/13/2023
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