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1770803785
JASON PAUL VANDEHAAR
MADISON, WI
NPI
1770803785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 6506-015)
Enumeration Date
2010-06-02
Last Update Date
2013-04-23
Business Address
Dr. JASON PAUL VANDEHAAR DDS
6317 ODANA RD
MADISON, WI 53719-1107
Phone number: 608-274-1911
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Mailing Address
Dr. JASON PAUL VANDEHAAR DDS
4726 WAUKESHA ST
MADISON, WI 53705-4843
Phone number: 608-239-2502
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