Individual
DR. JONATHAN S DEAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2600
Mailing address
4930 SUPPORT CT, N LAS VEGAS, NV 89031-0955
(410) 963-8543
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
410975
VA
Other
Enumeration date
12/21/2005
Last updated
07/08/2007
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