Organization
SWAMPSCOTT MODERN DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHAKAR CHOKKA (DDS)
(714) 845-8500
Entity
Organization
Contact information
Practice address
429 PARADISE RD, SWAMPSCOTT, MA 01907-1333
(339) 237-4380
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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