Organization
JON'S DENTAL LABORATORY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN LOUIS LITTMANN CDT (CEO/CERTIFIED DENTAL TECHNICIAN)
(940) 453-3904
Entity
Organization
Contact information
Practice address
111 ALAN A DALE CIR, DENTON, TX 76209-1302
(940) 453-3904
Mailing address
111 ALAN A DALE CIR, DENTON, TX 76209-1302
(940) 453-3904
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
1294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1294
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
07/18/2008
Last updated
07/18/2008
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