DR. Jonathan Gwan, DDS

NPI #1912128877 in Norwich, Connecticut

Provider Information

NPI Number: 1912128877
Entity Type: Individual
Name: DR. Jonathan Gwan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1 CLINIC DR
City: Norwich
State: Connecticut
ZIP Code: 06360
Phone: (860) 889-4044

Specialties & Taxonomy Codes

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

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