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11897 Foothill Blvd Suite A Rancho Cucamonga CA 91730 | |
(909) 476-9678 | |
(909) 481-0040 |
Full Name | |
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Speciality | Dentist |
Location | 11897 Foothill Blvd, Rancho Cucamonga, California |
Authorized Official Name and Position | Sekhar N Chakka (OWNER DENTIST) |
Authorized Official Contact | 9094769678 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11897 Foothill Blvd Suite A Rancho Cucamonga CA 91730 Ph: (909) 476-9678 | 11897 Foothill Blvd Suite A Rancho Cucamonga CA 91730 Ph: (909) 476-9678 |
NPI Number | 1093959207 |
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Provider Enumeration Date | 05/01/2009 |
Last Update Date | 10/21/2020 |
Identifier | Type | State | Issuer |
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1093959207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 47856 (California) | Primary |
Oluwadara Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9612 Foothill Blvd Ste 100&105, Rancho Cucamonga, CA 91730 Phone: 909-939-5569 Fax: 210-579-6484 | |
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