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Individual

DR. JASON W TENNISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
843 N NOLAN RIVER RD, CLEBURNE, TX 76033-7001
(817) 556-2323
(817) 556-3840
Mailing address
843 N NOLAN RIVER RD, CLEBURNE, TX 76033-7001
(817) 556-2323

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23504
TX

Other

Enumeration date
08/30/2007
Last updated
08/28/2009
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