Individual
DR. JONATHAN THOMAS MISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5130 LINCOLN DR, EDINA, MN 55436-1010
(412) 508-1968
Mailing address
5130 LINCOLN DR, EDINA, MN 55436-1010
(412) 508-1968
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
R452
MN
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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