Individual
RAINA CHANDIRAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9358 DORCHESTER ST, HIGHLANDS RANCH, CO 80129-2511
(720) 647-9600
Mailing address
11838 LAKESTONE WAY, PROSPECT, KY 40059-9000
(502) 396-2439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9799
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1044
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D.E.N.00205095
CO
Other
Enumeration date
05/10/2016
Last updated
02/13/2023
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