Individual
DR. BALAJI CHANDRASEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3907 E COLONIAL DR, ORLANDO, FL 32803-5209
(407) 228-0132
Mailing address
1910 CENTER DR, CASSELBERRY, FL 32707-4104
(321) 945-1716
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN29454
FL
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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