Individual
CHRISTIANE CHAMMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2050 EL CAJON BLVD, SAN DIEGO, CA 92104-1007
(619) 637-9774
(619) 866-4559
Mailing address
14872 WHISPERING RIDGE RD, SAN DIEGO, CA 92131-4262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
108644
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5203706909
AEGD RESIDENCY
AZ
Enumeration date
05/18/2021
Last updated
08/30/2023
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