Individual
DR. JONATHAN CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
61 MAIN ST, STONEHAM, MA 02180-3364
(781) 438-2100
Mailing address
61 MAIN ST, STONEHAM, MA 02180-3364
(781) 438-2100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17009
MA
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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