Individual
DR. SANDY ELIZABETH CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
240 N HIGHLAND AVE NE, APT 3422, ATLANTA, GA 30307-5609
(813) 453-0499
Mailing address
240 N HIGHLAND AVE NE, APT 3422, ATLANTA, GA 30307-5609
(813) 453-0499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013498
GA
Other
Enumeration date
08/20/2007
Last updated
01/23/2008
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