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Individual

JONATHAN MICHAEL WINFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6560 W FULLERTON AVE UNIT C106, CHICAGO, IL 60707-3439
(773) 385-6700
Mailing address
905 1/2 CREST RD, DEL MAR, CA 92014-2617
(858) 213-4856

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032358
IL
1223P0700X
Prosthodontics
DDS108485
CA
1223P0700X
Prosthodontics
S5-60C
NV

Other

Enumeration date
08/24/2019
Last updated
10/29/2024
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