Provider Demographics
NPI:1598844102
Name:MATHUR, CHITRALEKHA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHITRALEKHA
Middle Name:
Last Name:MATHUR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ARTISAN ST
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-0306
Mailing Address - Country:US
Mailing Address - Phone:949-246-5953
Mailing Address - Fax:
Practice Address - Street 1:18 ARTISAN ST
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-0306
Practice Address - Country:US
Practice Address - Phone:949-246-5953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA434671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice