Individual
JASON WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6921 W NEWBERRY RD, GAINESVILLE, FL 32605-4316
(352) 333-7788
(352) 332-4380
Mailing address
281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 13057-1307
(315) 454-6000
(866) 273-8204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19297
FL
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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