Most Relevant Information
Provider Data
| NPI Number: | 1003235763 |
| Provider Name: | CHARITY LUCILLE DUNCAN KACHALIA DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 51574 |
Most Important Dates
| Enumeration Date: | 04/10/2014 |
| Last Updated: | 04/10/2014 |
Provider Practice Location
525 BOLLINGER CANYON WAY
SUITE 100
SAN RAMON
CA
945824935
Practice Location Phone/Fax
| Phone: | 9253628209 |
| Fax: | 9253620217 |
Provider Mailing Location
1568 BANBURY DR
SAN RAMON
CA
945825784
Provider Mailing Phone/Fax
| Phone: | 9253628209 |
| Fax: | 9253620217 |