Individual
DR. JASON LEN CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
925 ROBERTA LN, SPARKS, NV 89431-1894
(775) 359-3934
(775) 359-8905
Mailing address
925 ROBERTA LN, SPARKS, NV 89431-1894
(775) 359-3934
(775) 359-8905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4050
NV
Other
Enumeration date
10/23/2006
Last updated
10/12/2021
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