Individual
JONATHAN R DEJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
804 KENYON RD STE 120, FORT DODGE, IA 50501-5746
(515) 576-8727
(515) 576-7076
Mailing address
804 KENYON RD STE 120, FORT DODGE, IA 50501-5746
(515) 576-8727
(515) 576-7076
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
08428
IA
Other
Enumeration date
05/17/2007
Last updated
06/15/2010
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