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Individual

MR. JASON WILLIAM POLLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
217 MAIN ST W, SLEEPY EYE, MN 56085
(507) 794-4361
(507) 794-5195
Mailing address
217 MAIN ST W, SLEEPY EYE, MN 56085-1329
(507) 794-4361
(507) 794-5195

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
08208
IA
1223G0001X
General Practice Dentistry
Primary
12571
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0293480
IA
Enumeration date
01/12/2007
Last updated
03/18/2019
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