DR. Jon Hugh Dickson, D.D.S.

NPI #1700962792 in Tahoe City, California

Provider Information

NPI Number: 1700962792
Entity Type: Individual
Name: DR. Jon Hugh Dickson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Oct 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 605 WEST LAKE BLVD.
Address 2: SUITE 1
City: Tahoe City
State: California
ZIP Code: 96145-1897
Phone: (530) 583-2349

Specialties & Taxonomy Codes

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

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