Individual
CHANDRAKANT R. MANCHANDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1915 W FIRST STREET UNIT-B, UNIT-B, SANTA ANA, CA 92703-3564
(714) 542-2133
(909) 622-9144
Mailing address
1915 W FIRST STREET UNIT-B, UNIT-B, SANTA ANA, CA 92703-3564
(714) 542-2133
(909) 622-9144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34156
CA
Other
Enumeration date
10/23/2006
Last updated
03/03/2022
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