Individual
DR. JON MATTHEW LINDBLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6092
OK
1223P0221X
Pediatric Dentistry
Primary
6092
OK
Other
Enumeration date
05/18/2009
Last updated
10/19/2022
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