Individual
DR. CHANDAN VENKATESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
193 WESTGATE DR, EDISON, NJ 08820-1164
(732) 809-6688
Mailing address
193 WESTGATE DR, EDISON, NJ 08820-1164
(732) 809-6688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02809100
NJ
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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