DR. Sivakumar Venkatachalam, DMD

NPI #1285202796 in Wildwood, Florida

Provider Information

NPI Number: 1285202796
Entity Type: Individual
Name: DR. Sivakumar Venkatachalam, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 12, 2021
Last Updated: Jun 12, 2021

Practice Location

Address: 4675 E SR 44 STE 104
City: Wildwood
State: Florida
ZIP Code: 34785-7461
Phone: (352) 418-3041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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