Individual
DR. CHASE SUGIONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7251 MAGNOLIA AVE, RIVERSIDE, CA 92504-3811
(951) 689-5031
Mailing address
30372 E SUNSET DR S, REDLANDS, CA 92373-7323
(909) 657-7616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
110568
CA
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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