| Surjit Chahal Dds, Inc | |
|
605 Standiford Ave Suite G Modesto CA 95350-1000 | |
| (209) 522-6400 | |
| (209) 522-8761 |
| Full Name | Surjit Chahal Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 605 Standiford Ave, Modesto, California |
| Authorized Official Name and Position | Surjit S Chahal (DENTIST) |
| Authorized Official Contact | 2095226400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surjit Chahal Dds, Inc 605 Standiford Ave Suite G Modesto CA 95350-1000 Ph: (209) 522-6400 | Surjit Chahal Dds, Inc 605 Standiford Ave Suite G Modesto CA 95350-1000 Ph: (209) 522-6400 |
| NPI Number | 1104035930 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104035930 | NPI | - | NPPES |
| G92367-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43766 (California) | Primary |
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