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Individual

DR. CHANDUR PK WADHWANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
12715 BEL-RED RD., SUITE 201, BELLEVUE, WA 98005-2627
(425) 453-1117
(425) 462-1878
Mailing address
12715 BEL-RED RD, SUITE 201, BELLEVUE, WA 98005-2627
(425) 453-1117
(425) 462-1878

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
10028
WA
1223P0700X
Prosthodontics
Primary
DE00010028
WA

Other

Enumeration date
11/14/2006
Last updated
05/18/2016
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