Organization
JONATHAN CHODROFF, MD, DDS, II, P.L.L.C.
Active
Other names
Lake River Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN DANIEL CHODROFF DDS, MD (ORAL SURGEON)
(302) 379-3104
Entity
Organization
Contact information
Practice address
14411 NE 20TH AVE STE 111, VANCOUVER, WA 98686-6433
(360) 425-7220
Mailing address
14411 NE 20TH AVE STE 111, VANCOUVER, WA 98686-6433
(360) 425-7220
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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