Individual
CHRIS SHITABATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8311 HAVEN AVE STE 220, RANCHO CUCAMONGA, CA 91730-3867
(909) 948-8980
(909) 941-4098
Mailing address
8311 HAVEN AVE STE 220, RANCHO CUCAMONGA, CA 91730-3867
(909) 948-8980
(909) 941-4098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35452
CA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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