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Organization
SUMATHI CHANDRASHEKHAR,DMD,A PROFESSIONAL CORPORATION
Active
Organization
SUMATHI CHANDRASHEKHAR,DMD,A PROFESSIONAL CORPORATION
Active
Other names
Radiant Smiles Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMATHI CHANDRASHEKHAR DMD (CEO)
(760) 628-5664
Entity
Organization
Contact information
Practice address
18523 CORWIN RD STE C, APPLE VALLEY, CA 92307-2300
(760) 884-3764
Mailing address
18523 CORWIN RD STE C, APPLE VALLEY, CA 92307-2300
(760) 884-3764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56055
CA
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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