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Individual

DR. CHASE TALBOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
BUILDING 2238, BOX #555221, 1ST DENTAL BATTALION/ NAVAL DENTAL CENTER, CAMP PENDLETON, CA 92055-5221
(760) 725-5419
Mailing address
BUILDING 2238, BOX #555221, 1ST DENTAL BATTALION, CAMP PENDLETON, CA 92055-5221
(760) 725-5419

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60576287
WA

Other

Enumeration date
08/18/2015
Last updated
08/18/2015
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