| Chiyo Shidara D.d.s., Apc | |
|
2150 Appian Way Ste 208 Pinole CA 94564-2520 | |
| (510) 741-7100 | |
| (510) 741-7335 |
| Full Name | Chiyo Shidara D.d.s., Apc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2150 Appian Way Ste 208, Pinole, California |
| Authorized Official Name and Position | Chiyo Shidara (PRESIDENT) |
| Authorized Official Contact | 5107417100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiyo Shidara D.d.s., Apc 605 Ridgeview Dr Pleasant Hill CA 94523-1078 Ph: (415) 699-5554 | Chiyo Shidara D.d.s., Apc 2150 Appian Way Ste 208 Pinole CA 94564-2520 Ph: (510) 741-7100 |
| NPI Number | 1568821635 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 02/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568821635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48997 (California) | Primary |
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