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Organization
CHAITANYA DENTAL CARE INC
Active
Organization
CHAITANYA DENTAL CARE INC
Active
Other names
Mission Ridge Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAITANYA BANDARUPALLI DDS (CEO)
(408) 332-4273
Entity
Organization
Contact information
Practice address
43693 MISSION BLVD, FREMONT, CA 94539-5832
(408) 332-4273
Mailing address
40745 CHILTERN DR, FREMONT, CA 94539-3703
(408) 332-4273
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DDS61623
CA
Other
Enumeration date
01/23/2018
Last updated
06/16/2018
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