Individual
DR. CHASE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
790 RIVERSIDE DR APT 2K, NEW YORK, NY 10032-7433
(602) 451-5412
Mailing address
790 RIVERSIDE DR APT 2K, NEW YORK, NY 10032-7433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02729600
NJ
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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