Chandara Im, DDS | |
Arizona 264, Sage Memorial Hospital, Ganado, AZ 86505 | |
(928) 755-4500 | |
Not Available |
Full Name | Chandara Im |
---|---|
Gender | Male |
Speciality | Dentist |
Location | Arizona 264, Ganado, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902184757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8233 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Chandara Im, DDS 16421 N 150th Dr, Surprise, AZ 85374-1473 Ph: (480) 560-7603 | Chandara Im, DDS Arizona 264, Sage Memorial Hospital, Ganado, AZ 86505 Ph: (928) 755-4500 |
Dr. Tyleigh Rain Davidson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Po Box 457, Ganado, AZ 86505 Phone: 928-755-4850 | |
Dr. Charles H. Vanderpool, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Hwy 264 And Junction 191 S, Ganado, AZ 86505 Phone: 928-755-4500 Fax: 928-755-4815 | |
Vivian Diep, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 191 Az-264, Ganado, AZ 86505 Phone: 928-755-4500 |