Individual
CHINMAYA SURIYANARAYANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 W KIMBERLY RD STE 5, DAVENPORT, IA 52806-3047
(888) 988-4066
Mailing address
2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 60173-4166
(847) 510-4910
(847) 510-4809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09981
IA
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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