Individual
BRINDA KANSAGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5807 PINE AVE, CHINO HILLS, CA 91709-6532
(909) 606-5566
Mailing address
14292 BALLAD DR, EASTVALE, CA 92880-4521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58789
CA
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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