Individual
PRATIMA SHARMA CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
37 MADDEX DR, SHEPHERDSTOWN, WV 25443-4322
(304) 876-2562
Mailing address
37 MADDEX DR, SHEPHERDSTOWN, WV 25443-4322
(304) 876-2562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401417611
VA
1223G0001X
General Practice Dentistry
17816
MD
1223G0001X
General Practice Dentistry
Primary
4613
WV
Other
Enumeration date
08/12/2021
Last updated
05/23/2023
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