Chhotu Dental Corp
Clinic/Center, Dental in Fontana, CA. Organization (NPI-2).
NPI number1508250010
StatusActive
Last updated in NPPESMar 23, 2015
Details
- NPI
- 1508250010
- Entity type
- Organization (NPI-2)
- Legal business name
- Chhotu Dental Corp
- Organization subpart
- No
- Enumeration date
- Mar 23, 2015
- Last updated
- Mar 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 62863 | CA | Yes |
Practice location
9647 Sierra AveFontana, CA 92335-5716
Phone 909-823-5959
Mailing address
13787 Star Ruby AveCorona, CA 92880-5558
Phone 951-965-0552
Authorized official
Krupal Chhotu
President
9519650552
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