Individual
CHAITANYA JOOPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
206 NE 7TH AVE, AMARILLO, TX 79107-5214
(888) 988-4066
Mailing address
4030 ALAN DR, LARGO, FL 33771-5208
(248) 229-4970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0025787
TX
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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