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Organization
HIGHLAND VILLAGE DENTISTRY
Active
Organization
HIGHLAND VILLAGE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRA CHOCKALINGAM DDS (DENTIST)
(909) 425-8980
Entity
Organization
Contact information
Practice address
7291 BOULDER AVE STE 2B, HIGHLAND, CA 92346-3389
(909) 425-8980
(909) 425-2684
Mailing address
7291 BOULDER AVE STE 2B, HIGHLAND, CA 92346-3389
(909) 425-8980
(909) 425-2684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D39388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568582534
NPI CHANDRA CHOCKALINGAM
CA
05
—
B393388-01
—
CA
Enumeration date
08/31/2007
Last updated
08/31/2007
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