Individual
DR. JONATHAN DANIEL CHODROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
14411 NE 20TH AVE STE 101, VANCOUVER, WA 98686-6432
(360) 425-7220
Mailing address
14411 NE 20TH AVE STE 101, VANCOUVER, WA 98686-6432
(360) 425-7220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D10743
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
61358923
WA
Other
Enumeration date
01/22/2018
Last updated
05/15/2023
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