Jason M Allred

NPI #1043558984 in Wadena, Minnesota

Provider Information

NPI Number
1043558984
Entity Type
Individual
Name
Jason M Allred
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Therapist
Enumeration Date
Jan 28, 2013
Last Updated
Jan 28, 2013

Practice Location

Address
206 1ST ST SE
City
Wadena
ZIP Code
56482-1561
Phone
(218) 631-4431

Specialties & Taxonomy Codes

Specialty
Dental Therapist

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