| J W Havener PLLC | |
|
210 W Mahl St Edinburg TX 78539-4331 | |
| (956) 381-8262 | |
| Not Available |
| Full Name | J W Havener PLLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 210 W Mahl St, Edinburg, Texas |
| Authorized Official Name and Position | Jonathan William Havener (MEMBER) |
| Authorized Official Contact | 9568219385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J W Havener PLLC 210 W Mahl St Edinburg TX 78539-4331 | J W Havener PLLC 210 W Mahl St Edinburg TX 78539-4331 Ph: (956) 381-8262 |
| NPI Number | 1578023966 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 03/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578023966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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