Individual
DR. CHITRA VIJAY SHANMUGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12640 HESPERIA RD, VICTORVILLE, CA 92395-7753
(760) 241-3336
Mailing address
12640 HESPERIA RD, VICTORVILLE, CA 92395
(760) 241-3336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58869
CA
Other
Enumeration date
12/24/2009
Last updated
01/19/2010
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