Individual
DR. SIDDARDHA CHANDRUPATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MMSC
Contact information
Practice address
15132 OLD GALVESTON RD, WEBSTER, TX 77598-1821
(281) 990-7462
Mailing address
15132 OLD GALVESTON RD, WEBSTER, TX 77598-1821
(281) 990-7462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
33470
TX
1223D0001X
Public Health Dentistry
Primary
33470
TX
1223G0001X
General Practice Dentistry
33470
TX
1223G0001X
General Practice Dentistry
DL12935
MA
Other
Enumeration date
11/22/2016
Last updated
07/26/2024
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