J W Havener Pllc

NPI #1578023966 in Edinburg, Texas

Provider Information

NPI Number: 1578023966
Entity Type: Organization
Organization Name: J W Havener Pllc
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Mar 21, 2019
Last Updated: Mar 21, 2019

Practice Location

Address: 210 W MAHL ST
City: Edinburg
State: Texas
ZIP Code: 78539-4331
Phone: (956) 381-8262

Authorized Official

Name: DR. JONATHAN WILLIAM HAVENER, DDS
Title: MEMBER
Phone: (956) 821-9385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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