Provider Demographics
NPI:1417605981
Name:YULIA CHIGIR DENTAL CORPORATION
Entity Type:Organization
Organization Name:YULIA CHIGIR DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIGIR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:845-729-3527
Mailing Address - Street 1:26447 CITRUS AVE
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-6103
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:455 W STUART AVE STE B103
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-3177
Practice Address - Country:US
Practice Address - Phone:845-729-3527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental