Individual
JASON MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 STOCKTON ST, SAN FRANCISCO, CA 94133-3354
(415) 391-9686
Mailing address
1520 STOCKTON ST, SAN FRANCISCO, CA 94133-3354
(503) 816-8967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
106036
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
106036
CA
Other
Enumeration date
04/30/2020
Last updated
08/29/2024
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