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Individual

DR. JASON S ANNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10009 PARK CEDAR DR, SUITE 200, CHARLOTTE, NC 28210-8903
(704) 541-5059
(704) 541-5060
Mailing address
10009 PARK CEDAR DR, SUITE 200, CHARLOTTE, NC 28210-8903
(704) 541-5059
(704) 541-5060

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7947
NC

Other

Enumeration date
08/24/2006
Last updated
07/08/2007
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