DR. Jairus Houston, DDS

NPI #1013319912 in Tomah, Wisconsin

Provider Information

NPI Number: 1013319912
Entity Type: Individual
Name: DR. Jairus Houston, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 23, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 1220 MARK AVE
City: Tomah
State: Wisconsin
ZIP Code: 54660-1199
Phone: (608) 372-4455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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