Organization
DR. ROBERT C. CHISHOLM, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BREANNA MASUDA DA (OFFICE MANAGER)
(510) 792-8844
Entity
Organization
Contact information
Practice address
36640 FREMONT BLVD, SUITE A, FREMONT, CA 94536-3630
(510) 792-8844
(510) 792-1334
Mailing address
36640 FREMONT BLVD, SUITE A, FREMONT, CA 94536-3630
(510) 792-8844
(510) 792-1334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22331
CA
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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