Individual
MANISHA CHINTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6213 MIDDLETON SPRINGS DR, MIDDLETON, WI 53562-2273
(608) 831-0467
Mailing address
7628 LISA LN APT 223, MIDDLETON, WI 53562-1452
(617) 763-9284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001374-15
WI
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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