Individual
DR. CARMELO DICHOSA BANTIQUE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3301 WATT AVE, SUITE 400, SACRAMENTO, CA 95821-3621
(916) 483-3423
(916) 483-8555
Mailing address
3301 WATT AVE, SUITE 400, SACRAMENTO, CA 95821-3621
(916) 483-3423
(916) 483-8555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29892
CA
Other
Enumeration date
07/09/2006
Last updated
02/07/2011
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