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Individual

DR. JASON A WETMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
817 WESTPORT DR, ROCKLEDGE, FL 32955-3501
(321) 433-1141
(321) 433-1210
Mailing address
817 WESTPORT DR, ROCKLEDGE, FL 32955-3501
(321) 433-1141
(321) 433-1210

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19217
FL

Other

Enumeration date
10/14/2010
Last updated
10/04/2011
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