| Darrellschundds Professional Corporation | |
|
9381 E Stockton Blvd 228 Elk Grove CA 95624-5068 | |
| (916) 691-1188 | |
| (916) 691-1122 |
| Full Name | Darrellschundds Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9381 E Stockton Blvd, Elk Grove, California |
| Authorized Official Name and Position | Darrell Scott Chun (PRESIDENT) |
| Authorized Official Contact | 9166911188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darrellschundds Professional Corporation 9381 E Stockton Blvd 228 Elk Grove CA 95624-5068 Ph: (916) 691-1188 | Darrellschundds Professional Corporation 9381 E Stockton Blvd 228 Elk Grove CA 95624-5068 Ph: (916) 691-1188 |
| NPI Number | 1568884740 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568884740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 39773 (California) | Primary |
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