| NPI | 1093959207 |
|---|---|
| Doing Business As | STADIUM DENTAL AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SEKHAR N CHAKKA Owner Dentist 909-476-9678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 47856) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2020-10-21 |