Individual
ANDREA CHICCHON- CANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2363 W MARCH LN, STOCKTON, CA 95207-5239
(209) 952-3951
Mailing address
8623 CAREY CT, STOCKTON, CA 95212-1404
(209) 938-7557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105083
CA
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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