Individual
CAROLINE ANTCHAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 IMPERIAL BUSINESS PARK DR, IMPERIAL, CA 92251-4004
(760) 355-8606
Mailing address
2411 IMPERIAL BUSINESS PARK DR, IMPERIAL, CA 92251-4004
(760) 355-8606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103933
CA
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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