Individual
JASON J. ROAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
218 W BELL ST STE 102, GLENDIVE, MT 59330-1644
(406) 377-2303
(406) 377-3950
Mailing address
218 W BELL ST STE 102, PO BOX 1171, GLENDIVE, MT 59330-1644
(406) 377-2303
(406) 377-3950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1925
MT
Other
Enumeration date
04/20/2007
Last updated
08/09/2011
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