Individual
DR. CHANDRA CHOCKALINGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7291 BOULDER AVE, HIGHLAND, CA 92346-3389
(909) 425-8980
(909) 425-2684
Mailing address
7291 BOULDER AVE, HIGHLAND, CA 92346-3389
(909) 425-8980
(909) 425-2684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
B39388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B39388-01
—
CA
Enumeration date
03/30/2007
Last updated
07/08/2007
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