Edwin Chicchon Dds Inc | |
3200 Mowry Ave Ste D Fremont CA 94538-1510 | |
(510) 713-8986 | |
(510) 713-8068 |
Full Name | Edwin Chicchon Dds Inc |
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Speciality | Clinic/center - Dental |
Location | 3200 Mowry Ave Ste D, Fremont, California |
Authorized Official Name and Position | Edwin Chicchon (OWNER/DENTIST) |
Authorized Official Contact | 5107138986 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Edwin Chicchon Dds Inc 3200 Mowry Ave Ste D Fremont CA 94538-1510 Ph: (510) 713-8986 | Edwin Chicchon Dds Inc 3200 Mowry Ave Ste D Fremont CA 94538-1510 Ph: (510) 713-8986 |
NPI Number | 1710441092 |
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Provider Enumeration Date | 01/30/2019 |
Last Update Date | 08/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710441092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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