Healthcare Provider Details

I. General information

NPI: 1356287007
Provider Name (Legal Business Name): CHUKHMAN DENTAL STUDIO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26326 CITRUS ST
VALENCIA CA
91355-5323
US

IV. Provider business mailing address

26326 CITRUS ST
VALENCIA CA
91355-5323
US

V. Phone/Fax

Practice location:
  • Phone: 661-255-6500
  • Fax: 661-244-0014
Mailing address:
  • Phone: 661-255-6500
  • Fax: 661-244-0014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ANNA CHUKHMAN
Title or Position: CEO
Credential: DDS
Phone: 661-255-6500