NPI | 1295476398 |
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Doing Business As | JASON J. AUGUSTINE, D.D.S, M.S., P.C |
Entity Type | Organization |
Authorized Contact | VICENTA REYES Lead Of Credentialing 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-04-05 |
Last Update Date | 2023-05-02 |