Individual
JONATHAN GERALD MAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 OAKWOOD AVE STE 200, STATE COLLEGE, PA 16803-2636
(814) 237-4300
Mailing address
106 ROBIN ST, CAIRNBROOK, PA 15924-8609
(785) 802-9896
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044452
PA
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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