Jonathan Robert Fabian, DDS

NPI #1336307636 in Blooming Prairie, Minnesota

Provider Information

NPI Number: 1336307636
Entity Type: Individual
Name: Jonathan Robert Fabian, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 23, 2008
Last Updated: May 23, 2008

Practice Location

Address: 405 E MAIN ST
City: Blooming Prairie
State: Minnesota
ZIP Code: 55917-1440
Phone: (507) 583-2141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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