DR. Jason William Evison, DDS

NPI #1871781625 in Ketchikan, Alaska

Provider Information

NPI Number: 1871781625
Entity Type: Individual
Name: DR. Jason William Evison, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 5, 2007
Last Updated: Jun 22, 2010

Practice Location

Address: 1621 TONGASS AVE
Address 2: SUITE 103
City: Ketchikan
State: Alaska
ZIP Code: 99901-6013
Phone: (907) 225-8228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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