| Chico Periodontal Associates | |
|
30 Declaration Dr Chico CA 95973-4911 | |
| (530) 898-1234 | |
| (530) 898-0725 |
| Full Name | Chico Periodontal Associates |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 30 Declaration Dr, Chico, California |
| Authorized Official Name and Position | Eleanor T Ward (OFFICE MANAGER) |
| Authorized Official Contact | 5308981234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chico Periodontal Associates 30 Declaration Dr Chico CA 95973-4911 Ph: (530) 898-1234 | Chico Periodontal Associates 30 Declaration Dr Chico CA 95973-4911 Ph: (530) 898-1234 |
| NPI Number | 1619179629 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619179629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 35882 (California) | Secondary |
| 1223P0300X | Dentist - Periodontics | 41959 (California) | Primary |
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