Individual
DR. SUMIT CHANANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4125 HARBOR TOWN LN, MANITOWOC, WI 54220-5855
(920) 686-3800
Mailing address
35 NORTHAMPTON ST, APT # 1503, BOSTON, MA 02118-4014
(205) 586-9233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6964-15
WI
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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