Individual
CHARU S CHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD MDS
Contact information
Practice address
222 SOUTH CLAY ST, SUITE 102, ZELIENOPLE, PA 16063
(724) 453-0234
(724) 453-0313
Mailing address
222 SOUTH CLAY ST, SUITE 102, ZELIENOPLE, PA 16063
(724) 453-0234
(724) 453-0313
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS027784L
PA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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