Individual
DR. JASON TED GEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3001 A 6TH ST, NAVAL HEALTH CLINIC, GREAT LAKES, IL 60088
(847) 688-2100
Mailing address
3001 A 6TH ST, NAVAL HEALTH CLINIC - ATTN CREDENTIALING DEPARTMENT, GREAT LAKES, IL 60088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4234
ID
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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