| 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 |
Kiram Yeo Tung, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 191 Az-264, Ganado, AZ 86505 Phone: 928-755-4861 | |
Dr. Tyleigh Rain Davidson, DMD Dentist Medicare: May Accept Medicare Assignments 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: Medicare Enrolled Practice Location: 191 Az-264, Ganado, AZ 86505 Phone: 928-755-4500 |