Individual
DR. JASON ROBERT HAWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
115 N MOONLIGHT RD, GARDNER, KS 66030-2505
(913) 856-7123
(913) 856-7121
Mailing address
115 N MOONLIGHT RD, GARDNER, KS 66030-2505
(913) 856-7123
(913) 856-7121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60474
KS
Other
Enumeration date
05/30/2007
Last updated
03/04/2020
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