| Douglas T Jonak Dds Pa | |
|
800 Main St Ne Blaine MN 55434 | |
| (763) 757-2768 | |
| (763) 757-8038 |
| Full Name | Douglas T Jonak Dds Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 800 Main St Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Lydia Jonak (OFFICE MANAGER) |
| Authorized Official Contact | 7637572768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas T Jonak Dds Pa 27367 Blue Lake Dr Nw Zimmerman MN 55398 Ph: (763) 856-5545 | Douglas T Jonak Dds Pa 800 Main St Ne Blaine MN 55434 Ph: (763) 757-2768 |
| NPI Number | 1659447670 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659447670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 9570 (Minnesota) | Primary |
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