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Organization

CHESLEY R HOUSKE JR , DDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHESLEY R HOUSKE JR. DDS (OWNER/DENTIST)
(310) 782-2008
Entity
Organization

Contact information

Practice address
1607 CRAVENS AVE, TORRANCE, CA 90501-3203
(310) 782-2008
(310) 782-6431
Mailing address
27401 EASTVALE RD, ROLLING HILLS ESTATES, CA 90274-4018
(310) 782-2008
(310) 782-6431

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32425
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0664839
UNITED CONCORDIA ID
CA
Enumeration date
12/29/2006
Last updated
09/06/2013
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