Individual
DR. AMRITA CHAKRABORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 NE F ST, GRANTS PASS, OR 97526-4234
(541) 612-3537
Mailing address
1519 NE F ST, GRANTS PASS, OR 97526-4234
(541) 612-3537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11627
OR
Other
Enumeration date
03/26/2019
Last updated
09/29/2022
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