| NPI | 1487848511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA CHOCKALINGAM Dentist 909-425-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D39388) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |