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General NPI Number Information
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NPI Number | 1285878488
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Entity Type | Organization
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Legal Business Name | GARLAPATI & CHAKKA DENTAL CORPORATION
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Dates
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Enumeration Date | 05/01/2009
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 9261 SIERRA AVE
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City | FONTANA
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State | CA
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Zip | 92335
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Country | US
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Telephone | 909-822-2212
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Fax |
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Provider Business Mailing Address
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Address Line | 9261 SIERRA AVE
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City | FONTANA
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State | CA
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Zip | 92335-4710
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Country | US
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Telephone | 909-822-2212
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. SUNEETHA S GARLAPATI
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Credential | DDS
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Telephone | 909-822-2212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 47895
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License Number State | CA
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