Organization
CHIYO SHIDARA D.D.S., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIYO SHIDARA D.D.S. (PRESIDENT)
(510) 741-7100
Entity
Organization
Contact information
Practice address
2150 APPIAN WAY STE 208, PINOLE, CA 94564-2520
(510) 741-7100
(510) 741-7335
Mailing address
605 RIDGEVIEW DR, PLEASANT HILL, CA 94523-1078
(415) 699-5554
(925) 822-3965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48997
CA
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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