Individual
DR. ATUL SUCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
910 S SUNSET AVE, SUITE 3, WEST COVINA, CA 91790-3409
(626) 337-6166
(626) 337-1176
Mailing address
910 S SUNSET AVE, SUITE 3, WEST COVINA, CA 91790-3409
(626) 337-6166
(626) 337-1176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36009
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B36009-02
DENTICAL
CA
Enumeration date
02/12/2007
Last updated
07/08/2007
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