Individual
DR. JASON TERRY MCDOWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
250 CENTRAL AVE N, SUITE 202, WAYZATA, MN 55391-1284
(952) 473-4900
(952) 473-4672
Mailing address
250 CENTRAL AVE N, SUITE 202, WAYZATA, MN 55391-1284
(952) 473-4900
(952) 473-4672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11621
MN
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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