DR. Jonathan Logan Chrisian, DMD

NPI #1073185336 in Vidalia, Georgia

Provider Information

NPI Number: 1073185336
Entity Type: Individual
Name: DR. Jonathan Logan Chrisian, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 15, 2021
Last Updated: Aug 10, 2021

Practice Location

Address: 311 PETE PHILLIPS DR
City: Vidalia
State: Georgia
ZIP Code: 30474-8821
Phone: (912) 537-7048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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