Most Relevant Information
Provider Data
| NPI Number: | 1003258377 |
| Provider Name: | SHARATH CHANDRA CHEDELLA VENKATA BDS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/26/2013 |
| Last Updated: | 07/26/2013 |
Provider Practice Location
625 ELMWOOD AVE # 683
ROCHESTER
NY
146202913
Practice Location Phone/Fax
| Phone: | 5852755051 |
| Fax: |
Provider Mailing Location
625 ELMWOOD AVE # 683
ROCHESTER
NY
146202913
Provider Mailing Phone/Fax
| Phone: | 5852755051 |
| Fax: |