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Individual

DR. JULIO E CHINCHILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
16810 MERIDIAN E STE J107, PUYALLUP, WA 98375-9604
(253) 848-7777
Mailing address
195 14TH ST NE UNIT 2401, ATLANTA, GA 30309-2678
(310) 740-6849
(754) 323-4385

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
12207
TN
1223E0200X
Endodontics
Primary
DE61453479
WA
1223E0200X
Endodontics
DN014100
GA

Other

Enumeration date
08/18/2008
Last updated
08/31/2023
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