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Dr. Ivan Chicchon
General Practice Dentistry in Stockton, California
NPI 1407267446

Ivan Chicchon is a General Practice Dentistry based in Stockton, CA and is specialized in General Practice. Ivan Chicchon practices in Stockton, CA. The NPI Number for Ivan Chicchon is 1407267446 and holds a License No. 63231 (California).

The current practice location address for Ivan Chicchon is 3555 Deer Park Dr, Stockton, CA and can be reached out via phone at 209-242-2977.

Location: 3555 Deer Park Dr, Stockton, CA, 95219-2378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407267446
Provider Name
Ivan Chicchon
Credential
Provider Entity Type
Individual
Gender
Male
Address
3555 Deer Park Dr, Stockton, CA, 95219-2378
Phone Number
209-242-2977
Fax Number
Provider Enumeration Date
05/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3555 Deer Park Dr
City
Stockton
State
California
Zip
95219-2377
Phone Number
209-242-2977
Fax Number
person
Provider Business Mailing Address Details
Address
3555 Deer Park Dr
City
Stockton
State
California
Zip
95219-2377
Phone Number
209-242-2977
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
63231 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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