Organization
VYSHNU P.C
Active
Other names
Valley Dental - Talent
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH CHUNDURI (DMD)
(916) 715-4080
Entity
Organization
Contact information
Practice address
160 N PACIFIC HWY, UNIT # 6, TALENT, OR 97540-9686
(541) 897-4466
Mailing address
702 SUMMERWOOD DR, MEDFORD, OR 97504-4336
(916) 715-4080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9784
OR
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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