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1205852761
PISHYA CHAMKASEM
TUSTIN, CA
NPI
1205852761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 50043)
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
Dr. PISHYA CHAMKASEM DDS
17542 IRVINE BLVD SUITE D
TUSTIN, CA 92780-3155
Phone number: 714-573-1224
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Mailing Address
Dr. PISHYA CHAMKASEM DDS
17542 IRVINE BLVD SUITE D
TUSTIN, CA 92780-3155
Phone number:
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