Individual
ALEXANDRIA IZORA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL THERAPY
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT0020
OR
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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