Organization
W. ALLWYN METHERELL, DDS PROF. DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER ALLWYN METHERELL DDS (PRESIDENT)
(530) 345-6382
Entity
Organization
Contact information
Practice address
1046 MANGROVE AVE STE C, CHICO, CA 95926-3548
(530) 345-6382
(530) 891-1145
Mailing address
1046 MANGROVE AVE STE C, CHICO, CA 95926-3548
(530) 345-6382
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
13395
CA
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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