Jason Adam Denise D.D.S.

NPI 1619294642 - Dentist - 122300000X

NPI Details
NPI 1619294642
Gender Male
Enumeration Date 04/30/2010
Last Updated 04/30/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
14300 GALLANT FOX LN
SUITE 214
BOWIE MD, 20715-4003, US
Phone (301) 262-4800
Fax (301) 262-9879
Business Location
14300 GALLANT FOX LN
SUITE 214
BOWIE MD, 20715-4003, US
Phone (301) 262-4800
Fax (301) 262-9879
Toxanomy
Taxonomy Code 122300000X
License State Maryland
License Number 14088
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According to our database, Dr. Jason Adam Denise D.D.S. NPI is 1619294642, taxonomy code is 122300000X and license number is 14088, license state is located at Maryland. Jason Adam Denise D.D.S. physically located at 14300 Gallant Fox Ln, Bowie MD, 20715-4003. NPI Number Jason Adam Denise D.D.S. has the Individual type.

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1619294642 NPI number is provided on an as is basis without warranty of any kind. 1619294642 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Adam Denise D.D.S. are for informational purposes only.