Individual
CHAKRADHAR MANCHIKALAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2625 OLD WINDER HWY STE G, BRASELTON, GA 30517-7021
(706) 684-0759
Mailing address
4325 RIVERGLEN CIR, SUWANEE, GA 30024-3837
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123564
GA
Other
Enumeration date
08/15/2024
Last updated
08/20/2024
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