Individual
DR. BAHAREH CHAGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(617) 595-1555
Mailing address
2801 W WISCONSIN AVE, MILWAUKEE, WI 53208-4008
(414) 288-7388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6599-15
WI
Other
Enumeration date
04/23/2010
Last updated
03/29/2023
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