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1477332302
JASON DODGE
BRYAN, TX
NPI
1477332302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 40058)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
JASON DODGE DDS
3201 UNIVERSITY DR E STE 170
BRYAN, TX 77802-3476
Phone number: 979-774-1255
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Mailing Address
JASON DODGE DDS
170 CENTURY SQUARE DR APT 255
COLLEGE STATION, TX 77840-4172
Phone number: 210-792-0762
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