Chintana Vassantach Luke in San Bernardino - Dentist
Chintana Vassantach Luke - NPI 1710008321
Chintana Vassantach Luke is a Dentist in San Bernardino, California. Chintana Vassantach Luke practices all healthcare services and medical treatments related to Dentist. The NPI Number for Chintana Vassantach Luke is 1710008321. The last update date is 2007-07-08.
Chintana Vassantach Luke's current location address is 1850 S Waterman Ave, San Bernardino, California. You can contact this provider via phone number 9098901529 and fax number 9098901739. The mailing address for Chintana Vassantach Luke is 1850 S Waterman Ave, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chintana Vassantach Luke |
|---|---|
| Address | 1850 S Waterman Ave, San Bernardino, California |
| Phone Number | 9098901529 |
| Fax Number | 9098901739 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1710008321 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1850 S Waterman Ave |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924082852 |
| Phone Number | 9098901529 |
| Fax Number | 9098901739 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 28876 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B2887602 | CA | MEDICAL |
Post Comment/ Review Below
What is the unique identifier code issued to Chintana Vassantach Luke by the Centers for Medicare & Medicaid Services?
The Chintana Vassantach Luke has been assigned the NPI (National Provider Identifier) 1710008321. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Chintana Vassantach Luke located?
The Chintana Vassantach Luke is located at 1850 S Waterman Ave, San Bernardino, CA 924082852.
What is the area of specialization for Chintana Vassantach Luke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Chintana Vassantach Luke is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710008321 to Chintana Vassantach Luke?
The Centers for Medicare & Medicaid Services originally issued the 1710008321 to Chintana Vassantach Luke on 2007-04-02.
As of what date were the Chintana Vassantach Luke's details last updated?
The information pertaining to the Chintana Vassantach Luke, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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