Organization
CHRIS S GUERISOLI DDS PC
Active
Other names
Piedmont Oaks Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA BERTELSON (COO)
(510) 654-6523
Entity
Organization
Contact information
Practice address
1345 GRAND AVE STE 103, PIEDMONT, CA 94610-1074
(510) 654-6523
Mailing address
1345 GRAND AVE STE 103, PIEDMONT, CA 94610-1074
(510) 654-6523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528460664
DENTISTRY
CA
01
—
1659869741
DENTISTRY
CA
Enumeration date
02/25/2022
Last updated
02/25/2022
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