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Organization
MARK T CHAO DDS INC
Active
Organization
MARK T CHAO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T CHAO DDS (PRESIDENT)
(209) 952-8000
Entity
Organization
Contact information
Practice address
3031 W MARCH LN, SUITE #340, STOCKTON, CA 95219-6500
(209) 952-8000
Mailing address
3031 W MARCH LN, SUITE #340, STOCKTON, CA 95219-6500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56858
CA
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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