Individual
CHAITALEE GANATRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 MARIANO S BISHOP BLVD, FALL RIVER, MA 02721-2346
(508) 674-6800
Mailing address
350 N CLARK ST, 6TH FLOOR, CHICAGO, IL 60654-4712
(312) 274-4520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856923
MA
Other
Enumeration date
03/30/2015
Last updated
06/15/2015
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