Organization
CHHOTU DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRUPAL CHHOTU DMD (PRESIDENT)
(951) 965-0552
Entity
Organization
Contact information
Practice address
9647 SIERRA AVE, FONTANA, CA 92335-5716
(909) 823-5959
Mailing address
13787 STAR RUBY AVE, CORONA, CA 92880-5558
(951) 965-0552
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
62863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538427182
NPI
CA
Enumeration date
03/23/2015
Last updated
03/23/2015
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