Individual
DR. CHANDANI BASYAL ACHARYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6412 FRANKFORD AVE # 10, PHILADELPHIA, PA 19135-3005
(215) 792-3055
Mailing address
504 S LANSDOWNE AVE APT D7, YEADON, PA 19050-2423
(970) 584-0084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042406
PA
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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