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General NPI Number Information
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NPI Number | 1023591146
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Entity Type | Organization
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Legal Business Name | MONPREET CHATTHA, DDS, INC
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Dates
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Enumeration Date | 09/14/2018
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Last Update Date | 09/14/2018
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Provider Practice Location Address
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Address Line | 17705 HALE AVE STE C3
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City | MORGAN HILL
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State | CA
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Zip | 95037-4316
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Country | US
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Telephone | 408-778-3135
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Fax |
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Provider Business Mailing Address
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Address Line | 78 PARK SHARON DR
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City | SAN JOSE
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State | CA
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Zip | 95136-2530
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Country | US
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Telephone | 408-612-1556
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MONPREET K CHATTHA
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Credential | DDS
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Telephone | 408-386-5708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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