Individual
DR. SHAM S CHANDOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5542 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1200
(414) 464-1070
Mailing address
5542 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1200
(414) 464-1070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0003107
WI
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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