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NPI Code Detail

MEDICARE: DOUGLAS L CHENIN DDS INC

MEDICARE: DOUGLAS L CHENIN DDS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry53773CA

General Provider Information

NPI Number : 1881190106
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOUGLAS L CHENIN DDS INC
Provider Business Mailing Address
First Line : 2001 UNION ST STE 420
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-4109
Country : US
Telephone Number : 415-424-3313
Fax Number : 415-655-9301
Provider Business Practice Location Address
First Line : 2001 UNION ST STE 420
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-4109
Country : US
Telephone Number : 415-424-3313
Fax Number : 415-655-9301
Authorized Official
Title or Position : DDS
Name : DR. DOUGLAS CHENIN
Credential :
Telephone Number : 415-424-3313
Provider Enumeration Date : 04/04/2018
Last Update Date : 04/04/2018

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Directions to “DOUGLAS L CHENIN DDS INC ” Practice Location

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