| NPI | 1952548356 |
|---|---|
| Former Name | SAKUNTHALA CHUKKAPALLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 26261) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-027838) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2019-08-14 |