Individual
JASON KOLE PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2158 N GILBERT RD STE 123, MESA, AZ 85203
(480) 649-7200
Mailing address
2210 N GENTRY, MESA, AZ 85213-2248
(480) 649-7200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7286
AZ
Other
Enumeration date
07/06/2007
Last updated
09/07/2010
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