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Individual

DR. CHARITY LUCILLE DUNCAN KACHALIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
525 BOLLINGER CANYON WAY, SUITE 100, SAN RAMON, CA 94582-4935
(925) 362-8209
(925) 362-0217
Mailing address
1568 BANBURY DR, SAN RAMON, CA 94582-5784
(925) 362-8209
(925) 362-0217

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51574
CA

Other

Enumeration date
04/10/2014
Last updated
04/10/2014
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