Organization
DELGADILLO DDS CHUN DDS CORP
Active
Other names
Golden Grove Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW DELGADILLO DDS (PRESIDENT)
(559) 375-2574
Entity
Organization
Contact information
Practice address
3168 TURNER ST STE 300, PLACERVILLE, CA 95667-5756
(530) 622-5640
Mailing address
1427 HUMBUG CREEK DR, FOLSOM, CA 95630-7641
(559) 375-2574
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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