Individual
JOELLEN M HAVRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
28425 STATE HIGHWAY 75, ONEONTA, AL 35121-1657
(205) 625-4384
(205) 625-4737
Mailing address
28425 STATE HIGHWAY 75, ONEONTA, AL 35121-1657
(205) 625-4384
(205) 625-4737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5683
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5683
LICENSE NUMBER
AL
Enumeration date
07/13/2009
Last updated
07/13/2009
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