| NPI | 1265990469 | 
|---|---|
| Doing Business As | CHICO MODERN DENTISTRY DENTAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | DHAVAL PATEL Dds/Owner 530-332-8972  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist | 
| Enumeration Date | 2019-03-06 | 
| Last Update Date | 2022-08-03 |