Individual
ANDREW M JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4200 BRYANT IRVIN RD, SUITE 129, FORT WORTH, TX 76109-4287
(817) 569-6633
(817) 569-6636
Mailing address
4200 BRYANT IRVIN RD, SUITE 129, FORT WORTH, TX 76109
(817) 569-6633
(817) 569-6636
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21557
TX
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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