Organization
CHARANJIT S UPPAL DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARANJIT S UPPAL DDS (PRESIDENT)
(510) 786-1780
Entity
Organization
Contact information
Practice address
1191 W TENNYSON RD, STE 4, HAYWARD, CA 94544-4454
(510) 786-1780
Mailing address
PO BOX 338, MOUNT EDEN, CA 94557-0338
(510) 786-1780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45048
DENTI-CAL
CA
Enumeration date
09/10/2016
Last updated
09/10/2016
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