Organization
JASON G. LAW DDS APDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON LAW DDS (PRESIDENT)
(510) 792-1551
Entity
Organization
Contact information
Practice address
2111 PARKSIDE DR, SUITE C, FREMONT, CA 94536-5221
(510) 792-1551
Mailing address
2111 PARKSIDE DR, SUITE C, FREMONT, CA 94536-5221
(510) 792-1551
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
44915
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
977879
UNITED CONCORDIA
CA
Enumeration date
03/07/2007
Last updated
08/22/2020
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