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Individual
DR. JOHN D JONES
Active
Individual
DR. JOHN D JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
TX13355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09658801
—
TX
01
—
819382
UNITED CONCORDIA
—
01
—
83Y644
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/20/2006
Last updated
07/08/2007
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