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Individual
DR. JONATHAN BEAN
Active
Individual
DR. JONATHAN BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
SC 8213
SC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
04441
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2012
Last updated
06/21/2021
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