| Highland Village Dentistry | |
|
7291 Boulder Ave Ste 2b Highland CA 92346-3389 | |
| (909) 425-8980 | |
| (909) 425-2684 |
| Full Name | Highland Village Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7291 Boulder Ave Ste 2b, Highland, California |
| Authorized Official Name and Position | Chandra Chockalingam (DENTIST) |
| Authorized Official Contact | 9094258980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Village Dentistry 7291 Boulder Ave Ste 2b Highland CA 92346-3389 Ph: (909) 425-8980 | Highland Village Dentistry 7291 Boulder Ave Ste 2b Highland CA 92346-3389 Ph: (909) 425-8980 |
| NPI Number | 1487848511 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 08/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487848511 | NPI | - | NPPES |
| 1568582534 | Other | CA | NPI CHANDRA CHOCKALINGAM |
| B393388-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D39388 (California) | Primary |
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