Individual
DR. ANGELICA CHAGHOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1616 W SHAW AVE STE A6, FRESNO, CA 93711-3513
(559) 222-2522
(559) 222-3022
Mailing address
1616 W SHAW AVE STE A6, FRESNO, CA 93711-3513
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
107616
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
06/15/2020
Last updated
01/03/2023
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