Individual
DR. JASON ADAM DENISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14300 GALLANT FOX LN, SUITE 214, BOWIE, MD 20715-4003
(301) 262-4800
(301) 262-9879
Mailing address
14300 GALLANT FOX LN, SUITE 214, BOWIE, MD 20715-4003
(301) 262-4800
(301) 262-9879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14088
MD
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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