Individual
JASON WAYNE AANENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
105 E. 5TH ST., FREEMAN, SD 57029-0219
(605) 925-4999
(605) 925-4196
Mailing address
PO BOX 219, FREEMAN, SD 57029-0219
(605) 925-4999
(605) 925-4196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M-879
SD
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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