KIEN CHIBAYERE
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1861741464- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 60 MDG/SGDR 101 BODIN CIRCLE, TRAVIS AFB, CA, 945351906
- Phone
- (707) 423-7085
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: NY #057159
Dentist, Oral and Maxillofacial Surgery
Primary License: CA #111520
All Addresses
MAILING
60 MDG/SGDR 101 BODIN CIRCLE
TRAVIS AFB, CA, 945351906