Provider Demographics
NPI:1225236664
Name:CHANDIOK, NEENA KAUL
Entity Type:Individual
Prefix:DR
First Name:NEENA
Middle Name:KAUL
Last Name:CHANDIOK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NEENA
Other - Middle Name:
Other - Last Name:CHANDIOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:990 W FREMONT AVE
Mailing Address - Street 2:SUITE R
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-3021
Mailing Address - Country:US
Mailing Address - Phone:408-530-8014
Mailing Address - Fax:
Practice Address - Street 1:990 W FREMONT AVE
Practice Address - Street 2:SUITE R
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-3021
Practice Address - Country:US
Practice Address - Phone:408-530-8014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA368761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice