Individual
KYLE JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
175 ORANGE BLOSSOM CIR, FOLSOM, CA 95630-8118
(916) 990-3336
Mailing address
175 ORANGE BLOSSOM CIR, FOLSOM, CA 95630-8118
(916) 955-3292
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
64236
CA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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