Most Relevant Information
Provider Data
| NPI Number: | 1003019910 |
| Provider Name: | JONATHAN MIN DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DI017865 |
Most Important Dates
| Enumeration Date: | 06/07/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
39 CAMBRIDGE DR
MATAWAN
NJ
077472227
Practice Location Phone/Fax
| Phone: | 7325664200 |
| Fax: | 7325666070 |
Provider Mailing Location
39 CAMBRIDGE DR
MATAWAN
NJ
077472227
Provider Mailing Phone/Fax
| Phone: | 7325664200 |
| Fax: | 7325666070 |