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
Phone: (909) 797-1136
Fax: (909) 797-9866
Website:
Authorized official contact:
Name: Chokka, Sudhakar R Doctor of Dental Surgery (DDS)
Phone: (909) 797-1136
Health care specialties
Specialty | Code | License # | 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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