Individual
DR. AMIR MOHAMMAD CHALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1580 WINCHESTER BLVD STE 101, CAMPBELL, CA 95008-0519
(408) 379-5360
Mailing address
701 CHINA BASIN ST APT 223, SAN FRANCISCO, CA 94158-2363
(650) 302-7909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61292
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
61292
CA
Other
Enumeration date
07/03/2012
Last updated
12/05/2017
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