Individual
DR. CHETHAN CHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2525 COLORADO BLVD, SUITE A, LOS ANGELES, CA 90041-1062
(323) 258-2885
(323) 258-8004
Mailing address
2525 COLORADO BLVD, SUITE A, LOS ANGELES, CA 90041-1062
(323) 258-2885
(323) 258-8004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48246
CA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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