| NPI | 1699251207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJESH CHUNDURI Doctor 916-715-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61569) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |