Jason Lafayette Jolivet DDS

NPI 1649548397 - Dentist - 1223G0001X

NPI Details
NPI 1649548397
Gender Male
Enumeration Date 12/08/2011
Last Updated 02/02/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
1600 PROVIDENCE DR
WACO TX, 76707-2261, US
Phone (254) 313-4200
Fax (254) 313-4326
Business Location
500 JOHNSON DR
MC GREGOR TX, 76657-1441, US
Phone (254) 313-5200
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 27547
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According to our database, Dr. Jason Lafayette Jolivet DDS NPI is 1649548397, taxonomy code is 1223G0001X and license number is 27547, license state is located at Texas. Jason Lafayette Jolivet DDS physically located at 1600 Providence Dr, Waco TX, 76707-2261. NPI Number Jason Lafayette Jolivet DDS has the Individual type.

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1649548397 NPI number is provided on an as is basis without warranty of any kind. 1649548397 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Lafayette Jolivet DDS are for informational purposes only.