NPI | 1669930806 |
---|---|
Doing Business As | BURLINGTON DENTIST OFFICE |
Entity Type | Organization |
Authorized Contact | SUDHAKAR R CHOKKA Owner/Dds 714-845-8890 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2019-03-06 |
Last Update Date | 2022-06-14 |