Jason Adam Straw D.D.S

NPI 1629286737 - Dentist - 1223S0112X

NPI Details
NPI 1629286737
Gender Male
Enumeration Date 05/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
LOMA LINDA UNIVERSITY MEDICAL CENTER
11234 ANDERSON STREET
LOMA LINDA CA, 92354, US
Phone (909) 558-4423
Fax
Business Location
26082 BRENTWOOD AVE
LOMA LINDA CA, 92354-3938, US
Phone (909) 796-4249
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State California
License Number 52782
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According to our database, Dr. Jason Adam Straw D.D.S NPI is 1629286737, taxonomy code is 1223S0112X and license number is 52782, license state is located at California. Jason Adam Straw D.D.S physically located at Loma Linda University Medical Center, Loma Linda CA, 92354. NPI Number Jason Adam Straw D.D.S has the Individual type.

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1629286737 NPI number is provided on an as is basis without warranty of any kind. 1629286737 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Adam Straw D.D.S are for informational purposes only.