Individual
DR. CHANDNI PROOTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
444 W SUNSET DR, WAUKESHA, WI 53189-7407
(262) 232-8461
Mailing address
777 N VAN BUREN ST APT 2011, MILWAUKEE, WI 53202-3862
(929) 527-0828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001673-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2024
Last updated
10/02/2024
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