Organization
CHOKKA DENTAL CORPORATION
Active
Other names
IMPERIAL DENTAL PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHAKAR R CHOKKA DDS (OWNER DDS)
(909) 797-1136
Entity
Organization
Contact information
Practice address
34880 YUCAIPA BLVD, YUCAIPA, CA 92399-4235
(909) 797-1136
(909) 797-9866
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
41376
CA
1223P0300X
Periodontics
37772
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OMS19
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
47275
CA
Other
Enumeration date
09/26/2006
Last updated
09/11/2025
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