Organization
JASON A FOLLETT DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON A FOLLETT DMD (OWNER)
(541) 426-3531
Entity
Organization
Contact information
Practice address
204 RESIDENCE ST, ENTERPRISE, OR 97828-1607
(541) 426-3531
(541) 426-8411
Mailing address
204 RESIDENCE ST, ENTERPRISE, OR 97828-1607
(541) 426-3531
(541) 426-8411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9543
OR
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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