Individual
DR. DHAWALRAJ CANCHI DHANRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
2158 INTELLIPLEX DR STE 114, SHELBYVILLE, IN 46176-8549
(317) 392-3231
Mailing address
2880 TALL OAKS CT APT 24, AUBURN HILLS, MI 48326-4114
(347) 744-0755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014568A
IN
1223G0001X
General Practice Dentistry
30.027653
OH
1223G0001X
General Practice Dentistry
RES.004438
OH
Other
Enumeration date
04/14/2022
Last updated
09/30/2024
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