| Ann Bess Chanco Dental Prof Corp | |
|
3862 Smith St Union City CA 94587-2614 | |
| (510) 441-2621 | |
| (510) 441-2626 |
| Full Name | Ann Bess Chanco Dental Prof Corp |
|---|---|
| Speciality | Dentist |
| Location | 3862 Smith St, Union City, California |
| Authorized Official Name and Position | Ann Bess Chanco (OWNER) |
| Authorized Official Contact | 5104412621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Bess Chanco Dental Prof Corp 3862 Smith St Union City CA 94587-2614 Ph: (510) 441-2621 | Ann Bess Chanco Dental Prof Corp 3862 Smith St Union City CA 94587-2614 Ph: (510) 441-2621 |
| NPI Number | 1417256256 |
|---|---|
| Provider Enumeration Date | 03/18/2011 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417256256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46460 (California) | Primary |
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