Individual
DR. JASON G SOUYIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1175 THOMAS EDISON DR, PORT HURON, MI 48060-8500
(810) 987-1400
(810) 987-1349
Mailing address
1175 THOMAS EDISON DR, PORT HURON, MI 48060-8500
(810) 987-1400
(810) 987-1349
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901019200
MI
Other
Enumeration date
05/14/2007
Last updated
07/24/2014
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