Individual
MR. JASON THOMAS LEMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3325 S. AVE 8E, SUITE 4, YUMA, AZ 85365
(928) 344-3177
(928) 344-3157
Mailing address
3325 S. AVE 8E, SUITE 4, YUMA, AZ 85365
(928) 344-3177
(928) 344-3157
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
23451
TX
122300000X
Dentist
7490
AZ
122300000X
Dentist
Primary
AZ7490
AZ
122300000X
Dentist
CA59150
CA
122300000X
Dentist
TX23451
TX
Other
Enumeration date
06/09/2008
Last updated
06/03/2011
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