Individual
DOUGLAS CHADWICK CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6000 FAIRWAY DR STE 15, ROCKLIN, CA 95677-4246
(916) 632-3650
Mailing address
6000 FAIRWAY DR STE 15, ROCKLIN, CA 95677-4246
(916) 632-3650
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54479
CA
Other
Enumeration date
01/04/2007
Last updated
05/08/2009
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