Jonathan Munger Dickson DMD

NPI 1629398425 - Dentist - 1223G0001X

NPI Details
NPI 1629398425
Gender Male
Enumeration Date 06/03/2010
Last Updated 06/03/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
6588 E MAIN ST
FARMINGTON NM, 87402-5122, US
Phone (505) 326-6800
Business Location
FARMINGTON NM, 87401-9209, US
Phone (253) 230-8084
Taxonomy Code 1223G0001X
License State New Mexico
License Number DD3293
Remove 1629398425 NPI Number

According to our database, Dr. Jonathan Munger Dickson DMD NPI is 1629398425, taxonomy code is 1223G0001X and license number is DD3293, license state is located at New Mexico. Jonathan Munger Dickson DMD physically located at 6588 E Main St, Farmington NM, 87402-5122. NPI Number Jonathan Munger Dickson DMD has the Individual type.

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1629398425 NPI number is provided on an as is basis without warranty of any kind. 1629398425 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Munger Dickson DMD are for informational purposes only.