Individual
CHINMOYEE ROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5867 LONE TREE WAY STE F, ANTIOCH, CA 94531-8623
(925) 732-4628
Mailing address
PO BOX 188, PLEASANTON, CA 94566-0018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103951
CA
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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