Provider Demographics
NPI:1255210845
Name:DR. AFNAN R. CHOUDHRY, DENTAL CORPORATION
Entity type:Organization
Organization Name:DR. AFNAN R. CHOUDHRY, DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AFNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-798-3306
Mailing Address - Street 1:1640 BAINES AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1220
Mailing Address - Country:US
Mailing Address - Phone:916-798-3306
Mailing Address - Fax:
Practice Address - Street 1:1221 FARMERS LN
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-6765
Practice Address - Country:US
Practice Address - Phone:916-798-3306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. AFNAN R. CHOUDHRY, DENTAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental