Individual
ASHA CHINNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2859 E FOUNTAIN BLVD, COLORADO SPRINGS, CO 80910-2312
(719) 442-0071
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 562-4461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-9607
CO
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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