Individual provider · Type 1 NPI
Amir Mohammad Chalak, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Campbell, CA
Practice location
1580 Winchester Blvd Ste 101
Campbell, CA 95008-0519
Mailing address
701 China Basin St Apt 223
San Francisco, CA 94158-2363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 61292 (CA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 61292 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1134483258
Amir Mohammad Chalak, DDS, MD's National Provider Identifier is 1134483258, issued on Jul 3, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Campbell, CA. The record was last updated on Dec 5, 2017.