Individual
DR. JONATHAN LOUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8 POND'S EDGE DRIVE, SUITE#2, CHADDSFORD, PA 19317
(610) 388-4466
(610) 388-5808
Mailing address
8 POND'S EDGE DRIVE, SUITE#2, CHADDSFORD, PA 19317
(610) 388-4466
(610) 388-5808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035692
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101397399
—
PA
Enumeration date
11/13/2006
Last updated
07/08/2007
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