Individual
JASON LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
Enumeration date
08/05/2008
Last updated
08/05/2008
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