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Search › California › 103T00000X

Jason Wilson

NPI 1013338870 · on the registry since 2013 · sole proprietor

Practice

Address
2020 Hurley Way Ste 145
Sacramento, CA 95825
Phone
(310) 702-5792
Organisation at this address
Life House Reentry
M. Golestan Dds Inc
Garret Madderra Dds, Lp
Le Vu Dental Corporation
Monarch Recovery Centers Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Additional practice sites

  • 7880 Alta Valley Dr Ste 107, Sacramento, CA
  • 2220 N Classen Blvd, Oklahoma City, OK

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
101YA0400X
Sex
Male
Record last updated
2025-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California