Individual
DR. JASON VANMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
400 CARILLON PKWY STE 120, ST PETERSBURG, FL 33716-1290
(727) 299-0728
Mailing address
400 CARILLON PKWY STE 120, ST PETERSBURG, FL 33716-1290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN24093
FL
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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