| W. Allwyn Metherell, Dds Prof. Dental Corp | |
|
1046 Mangrove Ave Ste C Chico CA 95926-3548 | |
| (530) 345-6382 | |
| (530) 891-1145 |
| Full Name | W. Allwyn Metherell, Dds Prof. Dental Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 1046 Mangrove Ave Ste C, Chico, California |
| Authorized Official Name and Position | Walter Allwyn Metherell (PRESIDENT) |
| Authorized Official Contact | 5303456382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W. Allwyn Metherell, Dds Prof. Dental Corp 1046 Mangrove Ave Ste C Chico CA 95926-3548 Ph: (530) 345-6382 | W. Allwyn Metherell, Dds Prof. Dental Corp 1046 Mangrove Ave Ste C Chico CA 95926-3548 Ph: (530) 345-6382 |
| NPI Number | 1437577624 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 04/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437577624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 13395 (California) | Primary |
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