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Licensing details for: 82316

Name: SUDHAKAR CHOKKA, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Azusa Modern Dentistry, Inc.

Address of Record

806 N. Azusa Avenue
AZUSA CA 91702
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Practice Location

806 N. Azusa Avenue
AZUSA CA 91702
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Issuance Date

August 15, 2025

Expiration Date

November 30, 2026

Current Date / Time

December 13, 2025
1:44:17 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: CHOKKA, SUDHAKAR RAO

License/Registration Type: Dentist License

License Number: 41376 Primary Status: Current - Active

Address :
27949 Greenspot Rd
Ste. H
HIGHLAND CA 92346-4443
SAN BERNARDINO COUNTY

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