Individual
DR. CHRISTOPHER ROBERT CHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3701 J ST STE 201, SACRAMENTO, CA 95816-5542
(925) 285-4147
Mailing address
3701 J ST STE 201, SACRAMENTO, CA 95816-5542
(925) 285-4147
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104796
CA
1223G0001X
General Practice Dentistry
104796
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2019
Last updated
06/25/2020
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