Individual
JASON JIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16701 N ORACLE RD STE 151, TUCSON, AZ 85739-9102
(520) 825-4491
Mailing address
16701 N ORACLE RD STE 151, TUCSON, AZ 85739-9102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011403
AZ
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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