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Individual

DR. NEAL JARED NATION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6750 N 19TH AVE, PHOENIX, AZ 85015-1127
(602) 242-5741
(602) 242-5742
Mailing address
23956 N 74TH ST, SCOTTSDALE, AZ 85255-3420
(480) 664-2175

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6299
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6299
STATE LICENSE
AZ
05
884107
AZ
Enumeration date
11/29/2005
Last updated
03/07/2023
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