Provider Demographics
NPI:1275650376
Name:BACHICHA, WILLIAM STEVEN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEVEN
Last Name:BACHICHA
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3400 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-3006
Mailing Address - Country:US
Mailing Address - Phone:916-632-7214
Mailing Address - Fax:916-632-6815
Practice Address - Street 1:3400 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-3006
Practice Address - Country:US
Practice Address - Phone:916-632-7214
Practice Address - Fax:916-632-6815
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA383941223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics