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Delgadillo Dds Chun Dds Corp

NPI Registration Record

Provider / OrganizationNPIDate Certified
DELGADILLO DDS CHUN DDS CORP11448354482020-09-13
Other Names:
Entity TypeOrganization
Provider OrganizationDELGADILLO DDS CHUN DDS CORP
Practice Office Address3168 TURNER ST STE 300
PLACERVILLE, CA US
Practice Office Telephone5306225640
Mailing Address1427 HUMBUG CREEK DR
FOLSOM, CA 956307641 US
Business Telephone5593752574
Authorized OfficialMATHEW DELGADILLO, PRESIDENT
5593752574
HPT Codes
CodeLicense NoState
261QD0000X PRIMARY
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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