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Organization
SUPRIYA D MHASKAR A DENTAL CORP
Active
Organization
SUPRIYA D MHASKAR A DENTAL CORP
Active
Parent organization
SUPRIYA D MHASKAR, A DENTAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUPRIYA D MHASKAR, A DENTAL CORPORATION
Authorized official
DR. SUPRIYA DHANANJAYA MHASKAR DDS (PRESIDENT)
(909) 465-5551
Entity
Organization
Contact information
Practice address
5436 RIVERSIDE DR, CHINO, CA 91710
(909) 465-5551
(909) 465-5191
Mailing address
5436 RIVERSIDE DR, CHINO, CA 91710-4206
(909) 465-5551
(909) 465-5191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40278
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B40278-01
DENTI-CAL
CA
Enumeration date
06/13/2014
Last updated
12/05/2016
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