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General NPI Number Information
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NPI Number | 1255210845
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Entity Type | Organization
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Legal Business Name | DR. AFNAN R. CHOUDHRY, DENTAL CORPORATION
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1221 FARMERS LN
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City | SANTA ROSA
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State | CA
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Zip | 95405-6765
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Country | US
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Telephone | 916-798-3306
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Fax |
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Provider Business Mailing Address
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Address Line | 1640 BAINES AVE
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City | SACRAMENTO
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State | CA
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Zip | 95835-1220
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Country | US
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Telephone | 916-798-3306
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. AFNAN CHOUDHRY
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Credential | DDS
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Telephone | 916-798-3306
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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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