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Organization
SUDAN DENTAL CORPORATION
Active
Organization
SUDAN DENTAL CORPORATION
Active
Other names
Chino Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
ANISHA SUDAN DDS (OWNER)
(909) 536-1900
Entity
Organization
Contact information
Practice address
4110 EDISON AVE, 107-B, CHINO, CA 91710-8409
(909) 536-1900
Mailing address
4110 EDISON AVE, 107-B, CHINO, CA 91710-8409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60267
CA
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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