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Individual

JASON R SAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
430 W 20TH ST, NEWTON, NC 28658-3732
(828) 464-0064
Mailing address
430 W 20TH ST, NEWTON, NC 28658-3732
(828) 464-0064

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7028
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89902RW
NC
01
902RW
NC HEALTHCHOICE
NC
Enumeration date
07/26/2013
Last updated
12/17/2013
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