Organization
CHAITANYA DENTAL CARE INC
Active
Other names
Mission Ridge Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAITANYA BANDARUPALLI DDS (CEO)
(408) 332-4273
Entity
Organization
Contact information
Practice address
43693 MISSION BLVD, FREMONT, CA 94539-5832
(408) 332-4273
Mailing address
40745 CHILTERN DR, FREMONT, CA 94539-3703
(408) 332-4273
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DDS61623
CA
Other
Enumeration date
01/23/2018
Last updated
06/16/2018
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