Jason Dean Henderson DMD

NPI 1659540557 - Dentist - 1223G0001X

NPI Details
NPI 1659540557
Gender Male
Enumeration Date 02/25/2008
Last Updated 02/25/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2081 FOREST AVE
SAN JOSE CA, 95128-4841, US
Phone (408) 297-0201
Fax (408) 297-4880
Business Location
2081 FOREST AVE
SAN JOSE CA, 95128-4841, US
Phone (408) 297-0201
Fax (408) 529-4880
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 50267
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According to our database, Dr. Jason Dean Henderson DMD NPI is 1659540557, taxonomy code is 1223G0001X and license number is 50267, license state is located at California. Jason Dean Henderson DMD physically located at 2081 Forest Ave, San Jose CA, 95128-4841. NPI Number Jason Dean Henderson DMD has the Individual type.

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1659540557 NPI number is provided on an as is basis without warranty of any kind. 1659540557 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Dean Henderson DMD are for informational purposes only.