Individual
DR. JACKIE CHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
2707 E VALLEY BLVD, STE. 107, WEST COVINA, CA 91792-3195
(626) 581-1929
Mailing address
2707 E VALLEY BLVD, STE. 107, WEST COVINA, CA 91792-3195
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
55253
CA
Other
Enumeration date
02/05/2008
Last updated
02/05/2015
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