Individual
DR. JON M BRASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5701 E 5TH ST, TUCSON, AZ 85711-2401
(520) 745-1313
Mailing address
5701 E 5TH ST, TUCSON, AZ 85711-2401
(520) 745-1313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3238
AZ
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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