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Ivan Chicchon
NPI 1407267446 · on the registry since 2014
Practice
- Address
- 3555 Deer Park Dr
Stockton, CA 95219 - Phone
- (209) 242-2977
- Organisation at this address
- Wellbound Of Stockton Llc
Vitreo-Retinal Medical Group, Inc.Inferred from a shared address, not stated in the registry.
Additional practice sites
- 2301 Platt Rd Ste 200, Ann Arbor, MI
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
- Licence states on file
- CA, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California