Individual
JONATHAN CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1197
(843) 359-3948
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1197
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064225
NY
122300000X
Dentist
111068
CA
Other
Enumeration date
02/14/2023
Last updated
02/10/2025
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