Individual
JAY D. SIMONTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18572 JOPLIN AVE, LAKEVILLE, MN 55044-4218
(952) 920-4400
(952) 882-8400
Mailing address
18572 JOPLIN AVE, LAKEVILLE, MN 55044-4218
(952) 920-4400
(952) 882-8400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9364
CO
1223E0200X
Endodontics
Primary
D12640
MN
Other
Enumeration date
02/02/2008
Last updated
09/28/2012
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