Individual
JASON MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 E INDUSTRY DR, OXFORD, NC 27565-3559
(196) 938-9229
Mailing address
655 E 14TH ST APT 2B, NEW YORK, NY 10009-3139
(858) 602-8885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13270
NC
Other
Enumeration date
04/16/2020
Last updated
05/20/2024
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