Individual
DR. SIRIN CHUNDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
850 LAKELAND DR, CHIPPEWA FALLS, WI 54729
(715) 738-2000
Mailing address
850 LAKELAND DR, CHIPPEWA FALLS, WI 54729-1687
(715) 738-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30209
TX
1223P0221X
Pediatric Dentistry
Primary
1002288-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
059610
NY
Other
Enumeration date
07/03/2014
Last updated
03/26/2021
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