DR. Siri Chanthasalo, D.D.S.

NPI #1134286057 in Elgin, Illinois

Provider Information

NPI Number
1134286057
Entity Type
Individual
Name
DR. Siri Chanthasalo, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jan 2, 2007
Last Updated
Oct 9, 2008

Practice Location

Address
3091 W. ROUTE 20
Address 2
#103
City
Elgin
ZIP Code
60124
Phone
(847) 841-1555

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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