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Individual
DR. JONATHAN W CHAY
Active
Individual
DR. JONATHAN W CHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10069
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX0045
—
SC
Enumeration date
06/13/2017
Last updated
03/02/2022
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