Provider Demographics
NPI:1689825341
Name:CHAHAL, TERINDER KAUR (DDS)
Entity Type:Individual
Prefix:
First Name:TERINDER
Middle Name:KAUR
Last Name:CHAHAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 E NEWTON ST
Mailing Address - Street 2:601
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-4802
Mailing Address - Country:US
Mailing Address - Phone:617-756-1373
Mailing Address - Fax:
Practice Address - Street 1:45 E NEWTON ST
Practice Address - Street 2:601
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-4802
Practice Address - Country:US
Practice Address - Phone:617-756-1373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA104421223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics