| Chhotu Dental Corp | |
|
9647 Sierra Ave Fontana CA 92335-5716 | |
| (909) 823-5959 | |
| Not Available |
| Full Name | Chhotu Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9647 Sierra Ave, Fontana, California |
| Authorized Official Name and Position | Krupal Chhotu (PRESIDENT) |
| Authorized Official Contact | 9519650552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chhotu Dental Corp 13787 Star Ruby Ave Corona CA 92880-5558 Ph: (951) 965-0552 | Chhotu Dental Corp 9647 Sierra Ave Fontana CA 92335-5716 Ph: (909) 823-5959 |
| NPI Number | 1508250010 |
|---|---|
| Provider Enumeration Date | 03/23/2015 |
| Last Update Date | 03/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508250010 | NPI | - | NPPES |
| 1538427182 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 62863 (California) | Primary |
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