Individual
DR. JASON JUSTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5513 KIRKWOOD HWY, WILMINGTON, DE 19808
(302) 994-2660
Mailing address
5513 KIRKWOOD HWY, WILMINGTON, DE 19808-5001
(302) 994-2660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039653
PA
Other
Enumeration date
05/19/2014
Last updated
05/15/2018
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