Organization
GENE CHICKINELL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE CHICKINELL DDS (DENTIST)
(541) 469-4995
Entity
Organization
Contact information
Practice address
548 PACIFIC AVENUE, BROOKINGS, OR 97415
(541) 469-4995
(541) 469-4408
Mailing address
PO BOX 8160, BROOKINGS, OR 97415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4605
OR
Other
Enumeration date
10/06/2006
Last updated
07/08/2008
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