Organization
SHACHINDRABAHADUR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHACHINDRA BAHADUR (OWNER)
(319) 390-1400
Entity
Organization
Contact information
Practice address
2315 EDGEWOOD RD SW, STE 160, CEDAR RAPIDS, IA 52404-3392
(319) 390-1400
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8606
IA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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