Provider Demographics
NPI:1396834800
Name:DALAL, CHIRAG D (DDS)
Entity Type:Individual
Prefix:
First Name:CHIRAG
Middle Name:D
Last Name:DALAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 ARLINGTON AVE STE A
Mailing Address - Street 2:TROPIC DENTAL OFFICE
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-1518
Mailing Address - Country:US
Mailing Address - Phone:951-785-4200
Mailing Address - Fax:951-785-9200
Practice Address - Street 1:18025 GALE AVE
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748-1245
Practice Address - Country:US
Practice Address - Phone:626-965-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50899122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist