Soumen Chatterjee, DDS Valid NPI
Individual provider · General Practice Dentistry · Portage, WI
- NPI
- 1568973030
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 1001697-15 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2017-10-23
- Last updated
- 2017-10-23
Practice location
2570 New Pinery Rd
Portage, WI 53901-1109
(608) 742-5573