Individual
DR. JONATHAN D AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2138 MADISON AVE, TOLEDO, OH 43604-5131
(419) 241-1644
Mailing address
2138 MADISON AVE, TOLEDO, OH 43604-5131
(419) 241-1644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023465
OH
Other
Enumeration date
06/26/2011
Last updated
06/26/2011
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