Organization
J W HAVENER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WILLIAM HAVENER DDS (MEMBER)
(956) 821-9385
Entity
Organization
Contact information
Practice address
210 W MAHL ST, EDINBURG, TX 78539-4331
(956) 381-8262
Mailing address
210 W MAHL ST, EDINBURG, TX 78539-4331
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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