Individual
DR. JASON MATTHEW MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2703 TRADE PL, TEMPLE, TX 76504-7040
(254) 371-7898
Mailing address
2703 TRADE PL, TEMPLE, TX 76504-7040
(254) 371-7898
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21548
TX
1223G0001X
General Practice Dentistry
21584
TX
Other
Enumeration date
11/18/2005
Last updated
09/28/2009
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