| Dr. Robert C. Chisholm, Dds | |
|
36640 Fremont Blvd Suite A Fremont CA 94536-3630 | |
| (510) 792-8844 | |
| (510) 792-1334 |
| Full Name | Dr. Robert C. Chisholm, Dds |
|---|---|
| Speciality | Dentist |
| Location | 36640 Fremont Blvd, Fremont, California |
| Authorized Official Name and Position | Breanna Masuda (OFFICE MANAGER) |
| Authorized Official Contact | 5107928844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Robert C. Chisholm, Dds 36640 Fremont Blvd Suite A Fremont CA 94536-3630 Ph: (510) 792-8844 | Dr. Robert C. Chisholm, Dds 36640 Fremont Blvd Suite A Fremont CA 94536-3630 Ph: (510) 792-8844 |
| NPI Number | 1508286253 |
|---|---|
| Provider Enumeration Date | 04/21/2014 |
| Last Update Date | 04/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508286253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22331 (California) | Primary |
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