Individual
DR. SOUMEN CHATTERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2570 NEW PINERY RD, PORTAGE, WI 53901-1109
(608) 742-5573
Mailing address
2570 NEW PINERY RD, PORTAGE, WI 53901-1109
(608) 742-5573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001697-15
WI
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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