Individual
DR. DIPAK NANALAL CHUDASAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS, MSC, MORTH RCS
Contact information
Practice address
6939 DESEO, IRVING, TX 75039-3409
(904) 864-2638
Mailing address
6939 DESEO, IRVING, TX 75039-3409
(904) 864-2638
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
054803-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
25317
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN 18941
FL
Other
Enumeration date
04/23/2007
Last updated
05/31/2011
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