Individual
SHACHINDRA BAHADUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2315 EDGEWOOD RD SW UNIT 160, CEDAR RAPIDS, IA 52404-3391
(319) 390-1400
(319) 396-4171
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08606
IA
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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