Individual
BHAWNA CHANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 N GOLDENROD RD STE 108, WINTER PARK, FL 32792-8611
(407) 671-0001
(407) 671-3496
Mailing address
3727 N GOLDENROD RD STE 108, WINTER PARK, FL 32792-8611
(407) 671-0001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN25827
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/12/2021
Last updated
09/23/2021
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