Organization
CHAPOKAS LUCZYNSKI DENTAL PARTNERSHIP
Active
Other names
C & L DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ROBERT CHAPOKAS DMD MSD (GENERAL PARTNER)
(619) 297-2949
Entity
Organization
Contact information
Practice address
3730 3RD AVE, SAN DIEGO, CA 92103-4112
(619) 297-2949
(619) 297-8535
Mailing address
3730 3RD AVE, SAN DIEGO, CA 92103-4112
(619) 297-2949
(619) 297-8535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
29814
CA
122300000X
Dentist
59349
CA
1223P0300X
Periodontics
Primary
58890
CA
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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