Chundu, Sirin
Chundu, Sirin is an individual health care provider with primary practice located at 850 Lakeland Dr , Chippewa Falls WI 54729. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Chundu, Sirin can be contacted via phone (715) 738-2000.Contact Information
Primary practice address
850 Lakeland Dr
Chippewa Falls WI 54729
Phone: (715) 738-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30209 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 059610 | New York |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 1002288-15 | Wisconsin |
Profile Details
| NPI number | 1720494370 |
|---|---|
| LBN Legal business name | Chundu, Sirin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2014 |
| Last updated | Mar 26th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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