Individual
DR. JONATHAN DANIEL SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1456 FULTON ST, BROOKLYN, NY 11216-2505
(718) 636-4500
Mailing address
1040 DEAN ST APT 406, BROOKLYN, NY 11238-3477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060579
NY
Other
Enumeration date
10/21/2017
Last updated
07/13/2023
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