Individual
DR. JASON RYAN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
CORNER OF ROUTE N12 & N7, FORT DEFIANCE PHS HOSPITAL, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 186, FORT DEFIANCE, AZ 86504-0186
(402) 290-0153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60023530
WA
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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