Jason Pendleton, D.D.S Valid NPI

Individual provider · General Practice Dentistry · Onalaska, WI

NPI

1942567466

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

711815 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2012-04-22

Last updated

2015-12-08