DR. Jason R Bourne, DDS, MS
NPI #1104922194 in Marysville, Washington
Provider Information
- NPI Number
- 1104922194
- Entity Type
- Individual
- Name
- DR. Jason R Bourne, DDS, MS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS, MS
- Enumeration Date
- Sep 16, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 815 STATE AVE
- Address 2
- SUITE 3
- City
- Marysville
- State
- Washington
- ZIP Code
- 98270-4254
- Phone
- (360) 659-0211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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