Organization
GUILLERMO E CHACON, DDS, PS
Active
Other names
Oral & Facial Surgery Centers of Washington
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO ENRIQUE CHACON DDS (PRESIDENT/OWNER)
(253) 445-0022
Entity
Organization
Contact information
Practice address
2910 S MERIDIAN STE 120, PUYALLUP, WA 98373-1585
(253) 445-0022
(253) 445-0979
Mailing address
2910 S MERIDIAN STE 120, PUYALLUP, WA 98373-1585
(253) 445-0022
(253) 445-0979
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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