Individual
SHIPRA CHADDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1234 HYDE PARK AVE STE 103, HYDE PARK, MA 02136-2819
(617) 361-6996
(617) 361-7295
Mailing address
1234 HYDE PARK AVE STE 103, HYDE PARK, MA 02136-2819
(617) 361-6996
(617) 361-7295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN155526
MA
122300000X
Dentist
Primary
DN1855526
MA
Other
Enumeration date
08/04/2010
Last updated
02/21/2019
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