Individual
DR. DEVESHI CHANDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
606 ERIE ST, EDINBORO, PA 16412
(814) 734-4451
Mailing address
606 ERIE ST, EDINBORO, PA 16412-6002
(814) 734-4451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041779
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2018
Last updated
08/09/2018
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