Organization
UNITED STATES AIR FORCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHIESA DDS (COMMANDER)
(240) 857-2809
Entity
Organization
Contact information
Practice address
1601 CALIFORNIA AVE, ANDREWS AFB, MD 20762
(240) 857-2809
Mailing address
1601 CALIFORNIA AVE, ANDREWS AFB, MD 20762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15899
TX
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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