JASON TENNY

PORT ST LUCIE, FL
NPI1811431331
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN 22378)
Enumeration Date2016-12-19
Last Update Date2016-12-19
Business Address
-- JASON TENNY DDS
10696 SW VILLAGE PKWY
PORT ST LUCIE, FL 34987-2358
Phone number: 772-380-4490
Mailing Address
-- JASON TENNY DDS
10239 SW VILLAGE PKWY APT 206
PORT ST LUCIE, FL 34987-2364
Phone number: 703-389-3891