Individual
DR. JONATHAN LOMBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7410 W ADAMS AVE STE 140, TEMPLE, TX 76502-5892
(254) 405-6066
Mailing address
101 COLORADO ST APT 2006, AUSTIN, TX 78701-4131
(828) 514-9063
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
36074
TX
Other
Enumeration date
05/11/2017
Last updated
09/23/2020
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