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Organization
DELGADILLO DDS CHUN DDS CORP
Active
Organization
DELGADILLO DDS CHUN DDS CORP
Active
Other names
Golden Grove Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW DELGADILLO DDS (PRESIDENT)
(559) 375-2574
Entity
Organization
Contact information
Practice address
3168 TURNER ST STE 300, PLACERVILLE, CA 95667-5756
(530) 622-5640
Mailing address
1427 HUMBUG CREEK DR, FOLSOM, CA 95630-7641
(559) 375-2574
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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