Jason Champagne Vi,pc

NPI #1053117473 in Sparks, Nevada

Provider Information

NPI Number
1053117473
Entity Type
Organization
Organization Name
Jason Champagne Vi,pc
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 25, 2025
Last Updated
Feb 25, 2025

Practice Location

Address
5050 VISTA BLVD UNIT 107
City
Sparks
State
Nevada
ZIP Code
89436-2845
Phone
(775) 626-6556

Authorized Official

Name
JASON CHAMPAGNE
Title
OWNER
Phone
(775) 626-6556

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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