Organization
CHICO PERIODONTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELEANOR T WARD (OFFICE MANAGER)
(530) 898-1234
Entity
Organization
Contact information
Practice address
30 DECLARATION DR, CHICO, CA 95973-4911
(530) 898-1234
(530) 898-0725
Mailing address
30 DECLARATION DR, CHICO, CA 95973-4911
(530) 898-1234
(530) 898-0725
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
35882
CA
1223P0300X
Periodontics
Primary
41959
CA
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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