Individual
CHIRANJEEVI TANUBUDDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
826 E MISSION BLVD, POMONA, CA 91766-2044
(409) 291-2026
Mailing address
14339 WHITTIER BLVD APT 213, WHITTIER, CA 90605-2193
(409) 291-2026
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104050
CA
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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