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1255357711
CHAMKASEM, DDS, INC.
TUSTIN, CA
NPI
1255357711
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Entity Type
Organization
Authorized Contact
PISHYA CHAMKASEM
CEO
714-573-1224
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 50043)
Enumeration Date
2006-07-15
Last Update Date
2008-03-24
Business Address
CHAMKASEM, DDS, INC.
17542 IRVINE BLVD SUITE D
TUSTIN, CA 92780-3155
Phone number: 714-573-1224
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Mailing Address
CHAMKASEM, DDS, INC.
17542 IRVINE BLVD SUITE D
TUSTIN, CA 92780-3155
Phone number: 714-573-1224
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