Individual
JASON S. THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
S76W17527 JANESVILLE RD, MUSKEGO, WI 53150-9298
(262) 679-2213
(262) 679-1147
Mailing address
S76W17527 JANESVILLE RD, P. O. BOX 1, MUSKEGO, WI 53150-9298
(262) 679-2213
(262) 679-1147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5453015
WI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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