Organization
BANTIQUE CHIROPRACTIC, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMELO DICHOSA BANTIQUE JR. D.C. (PRESIDENT)
(916) 483-3423
Entity
Organization
Contact information
Practice address
3301 WATT AVE, SUITE 400, SACRAMENTO, CA 95821-3621
(916) 483-3423
Mailing address
3301 WATT AVE, SUITE 400, SACRAMENTO, CA 95821-3621
(916) 483-3423
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29892
CA
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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