AGASTAYYA CHANDALADA

CHICAGO, IL
NPI1407084023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: PA  DS037917)
Enumeration Date2009-06-23
Last Update Date2009-06-23
Business Address
Dr. AGASTAYYA CHANDALADA DDS
430 W ERIE ST SUITE 200
CHICAGO, IL 60654-6914
Phone number: 920-838-1649
Mailing Address
Dr. AGASTAYYA CHANDALADA DDS
430 W ERIE ST SUITE 200
CHICAGO, IL 60654-6914
Phone number: 920-838-1649
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