Individual
POOJITHA CHANDRASEKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4930 SE 14TH ST, DES MOINES, IA 50320-1604
(515) 953-6000
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08779
IA
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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