Individual
DR. PRATHYUSHA CHAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3882 S CLACK ST, ABILENE, TX 79606-2711
(325) 695-1500
Mailing address
55 STATION LNDG APT 215, MEDFORD, MA 02155-5008
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
36837
TX
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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