Provider Demographics
NPI:1790671469
Name:CHAUDHARY, BILAL ASHRAF (DDS, MS)
Entity type:Individual
Prefix:
First Name:BILAL
Middle Name:ASHRAF
Last Name:CHAUDHARY
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2020 EL CAJON BLVD APT 600
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3882
Mailing Address - Country:US
Mailing Address - Phone:646-407-5185
Mailing Address - Fax:
Practice Address - Street 1:9870 HIBERT ST STE D9
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1091
Practice Address - Country:US
Practice Address - Phone:858-433-7377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1113631223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics