Imperial Dental Practice

LBN: Chokka Dental Corporation
Imperial Dental Practice is an health care organization with primary practice located at 34880 Yucaipa Blvd , Yucaipa CA 92399-4235. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. Chokka Dental Corporation can be contacted via phone (909) 797-1136, or through Chokka, Sudhakar R via phone (909) 797-1136.

Contact Information

Primary practice address
34880 Yucaipa Blvd Yucaipa CA 92399-4235
Fax: (909) 797-9866
Website:
Authorized official contact:
Name: Chokka, Sudhakar R Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 41376 California
Dental Providers / Periodontics 1223P0300X 37772 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X OMS19 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 47275 California

Profile Details

NPI number 1639270234
LBN Legal business name Chokka Dental Corporation
DBA Doing business as Imperial Dental Practice
Authorized official Chokka, Sudhakar R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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