Individual
DR. JONATHON S SASPORTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
2303 WHITEHORSE MERCERVILLE RD, OMSCNJ, MERCERVILLE, NJ 08619-1931
(609) 587-2900
(609) 587-1749
Mailing address
2303 WHITEHORSE MERCERVILLE ROAD, MERCERVILLE, NJ 08619-1994
(609) 587-2900
(609) 587-1749
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI01840202
NJ
Other
Enumeration date
10/05/2006
Last updated
08/01/2008
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