Provider Demographics
NPI:1639611684
Name:CHIRAG VORA D.D.S, INC.
Entity Type:Organization
Organization Name:CHIRAG VORA D.D.S, INC.
Other - Org Name:DR. VORA'S GATEWAY DENTAL OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIRAG
Authorized Official - Middle Name:P
Authorized Official - Last Name:VORA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-899-3940
Mailing Address - Street 1:15032 SUMMIT AVE
Mailing Address - Street 2:SUITE#410
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-5393
Mailing Address - Country:US
Mailing Address - Phone:909-899-3940
Mailing Address - Fax:
Practice Address - Street 1:15032 SUMMIT AVE
Practice Address - Street 2:SUITE#410
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-5393
Practice Address - Country:US
Practice Address - Phone:909-899-3940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty