JASON RANDALL ACEVEDO

SOUTH LAKE TAHOE, CA
NPI1326127663
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  51539)
Enumeration Date2006-11-06
Last Update Date2007-07-08
Business Address
Dr. JASON RANDALL ACEVEDO DDS
3461 LAKE TAHOE BLVD #1
SOUTH LAKE TAHOE, CA 96150
Phone number: 530-544-1050
Mailing Address
Dr. JASON RANDALL ACEVEDO DDS
3461 LAKE TAHOE BLVD #1
SOUTH LAKE TAHOE, CA 96150
Phone number: 530-544-1050
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