Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X | |||
Oral and Maxillofacial Surgery |
261QS0112X |
| NPI # | 1285204545 |
| LBN Legal business name | JASON A DUNVILLE DDS PC |
| Authorized official | JASON DUNVILLE - (DOCTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/29/2021 |
| Last updated | 06/29/2021 - About 5 years ago |
| Identifiers | n/a |
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