Individual
CHANDRA S PANCHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1195 MAGNOLIA AVE, CORONA, CA 92879-3202
(951) 339-3005
Mailing address
1195 MAGNOLIA AVE, CORONA, CA 92879-3202
(951) 339-3005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02766000
NJ
1223P0221X
Pediatric Dentistry
Primary
113676
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2019
Last updated
08/10/2026
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