Individual
DR. JONATHAN HAVENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2747 N O CONNOR RD, IRVING, TX 75062-5650
(972) 871-7681
Mailing address
2502 LIVE OAK ST APT 129, DALLAS, TX 75204-5872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
32680
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
32680
TX
Other
Enumeration date
02/15/2017
Last updated
05/13/2023
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