DR. Chetan Shivaram, DDS
NPI #1326191321 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1326191321
- Entity Type
- Individual
- Name
- DR. Chetan Shivaram, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 21, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 301 E LOHMAN AVE
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88001-3667
- Phone
- (505) 524-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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