| Guillermo E Chacon, Dds, Ps | |
|
2910 S Meridian Ste 120 Puyallup WA 98373-1585 | |
| (253) 445-0022 | |
| (253) 445-0979 |
| Full Name | Guillermo E Chacon, Dds, Ps |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2910 S Meridian Ste 120, Puyallup, Washington |
| Authorized Official Name and Position | Guillermo Enrique Chacon (PRESIDENT/OWNER) |
| Authorized Official Contact | 2534450022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guillermo E Chacon, Dds, Ps 2910 S Meridian Ste 120 Puyallup WA 98373-1585 Ph: (253) 445-0022 | Guillermo E Chacon, Dds, Ps 2910 S Meridian Ste 120 Puyallup WA 98373-1585 Ph: (253) 445-0022 |
| NPI Number | 1942820626 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 04/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942820626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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