Provider Demographics
NPI:1609891423
Name:CHITGOPEKAR, PREETI SUNIL (DDS)
Entity type:Individual
Prefix:DR
First Name:PREETI
Middle Name:SUNIL
Last Name:CHITGOPEKAR
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 1:3030 BEARD RD
Mailing Address - Street 2:SUITE #C
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3490
Mailing Address - Country:US
Mailing Address - Phone:707-224-7536
Mailing Address - Fax:707-224-7535
Practice Address - Street 1:3030 BEARD RD
Practice Address - Street 2:SUITE #C
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3490
Practice Address - Country:US
Practice Address - Phone:707-224-7536
Practice Address - Fax:707-224-7535
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA446581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice