Jason T Skinner, DDS

NPI #1689744898 in Clear Lake, Iowa

Provider Information

NPI Number: 1689744898
Entity Type: Individual
Name: Jason T Skinner, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 8, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 102 N 5TH ST
City: Clear Lake
State: Iowa
ZIP Code: 50428-1803
Phone: (641) 357-4112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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