Individual
SHALINI ACHANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1585 N MCCARTHY RD, APT#4, APPLETON, WI 54913-8448
(414) 721-1379
Mailing address
1585 N MCCARTHY RD, APT#4, APPLETON, WI 54913
(414) 721-1379
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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