Individual
DR. CHINMAYA MISHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
805 RED BUD RD NE, CALHOUN, GA 30701-1968
(706) 625-8888
Mailing address
5030 VILLAGE GREEN WAY, ALPHARETTA, GA 30009-3646
(651) 373-5547
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015759
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2018
Last updated
08/03/2023
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