Organization
DOUGLAS T JONAK DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYDIA JONAK (OFFICE MANAGER)
(763) 757-2768
Entity
Organization
Contact information
Practice address
800 MAIN ST NE, BLAINE, MN 55434
(763) 757-2768
(763) 757-8038
Mailing address
27367 BLUE LAKE DR NW, ZIMMERMAN, MN 55398
(763) 856-5545
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9570
MN
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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