Jason Wayne Aanenson, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Freeman, SD

NPI

1952473720

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

M-879 (SD)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-15

Last updated

2007-07-08