Provider Demographics
NPI:1750713830
Name:VAID, CHIRAG RAJE (DDS)
Entity type:Individual
Prefix:
First Name:CHIRAG
Middle Name:RAJE
Last Name:VAID
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 1:3651 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-1522
Mailing Address - Country:US
Mailing Address - Phone:209-351-3223
Mailing Address - Fax:
Practice Address - Street 1:2201 CAPITOL AVE STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5722
Practice Address - Country:US
Practice Address - Phone:916-444-2957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-31
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62665122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist