Organization
W. ALLWYN METHERELL, DDS PROF. DENTAL CORP
Active
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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