Individual
JONATHAN ERIC OKON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
133 E 58TH ST STE 807, NEW YORK, NY 10022-1122
(212) 380-1165
Mailing address
47 BRACKETT RD, NEWTON, MA 02458-2611
(617) 964-7375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049-245
NY
1223G0001X
General Practice Dentistry
DN 20180-1
MA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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