Chetan Shivaram DDS P.c

NPI #1932353257 in Canutillo, Texas

Provider Information

NPI Number: 1932353257
Entity Type: Organization
Organization Name: Chetan Shivaram DDS P.c
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 13, 2008
Last Updated: Nov 13, 2008

Practice Location

Address: 6821 DONIPHAN DR
City: Canutillo
State: Texas
ZIP Code: 79835
Phone: (915) 788-4949

Authorized Official

Name: CHETAN SHIVARAM, DDS
Title: OWNER/PRESIDENT
Phone: (915) 877-4949

Specialties & Taxonomy Codes

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

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