Luke, Chintana Vassantachart

Luke, Chintana Vassantachart is an individual health care provider with primary practice located at 1850 S Waterman Ave Suite B, San Bernardino CA 92408-2852. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Luke, Chintana Vassantachart can be contacted via phone (909) 890-1529.

Contact Information

Primary practice address
1850 S Waterman Ave Suite B San Bernardino CA 92408-2852
Phone: (909) 890-1529
Fax: (909) 890-1739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 28876 California

Profile Details

NPI number 1710008321
LBN Legal business name Luke, Chintana Vassantachart
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710008321 NPPES
California Other B2887602 MEDICAL

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