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Individual
NOLAN JENKINS
Active
Individual
NOLAN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
018001888
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
34660
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
34660
TX
Other
Enumeration date
10/25/2013
Last updated
04/13/2023
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