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Individual

DR. JONATHAN MENDIA

Active
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Individual

DR. JONATHAN MENDIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DI02532800
NJ
122300000X
Dentist
DS038801
PA
1223D0004X
Dental Anesthesiology
DI02532800
NJ
1223D0004X
Dental Anesthesiology
Primary
DS038801
PA

Other

Enumeration date
11/15/2012
Last updated
05/17/2013
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